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Ann Thorac Surg 2009;88:310-312. doi:10.1016/j.athoracsur.2008.09.078
© 2009 The Society of Thoracic Surgeons
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Peter Lamm
Sandra Eifert
Bruno Reichart
Gerd Juchem
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Right arrow Coronary disease

How To Do It

Preventing Blood Loss During Application of the HEARTSTRING Proximal Seal System

Peter Lamm, MD, PhD*, Sandra Eifert, MD, Eckehart Kilian, MD, Bruno Reichart, MD, PhD, Gerd Juchem, MD

Department of Cardiac Surgery, Ludwig-Maximilians-Universität München, Munich, Germany

Accepted for publication September 30, 2008.

* Address correspondence to Dr Lamm, Department of Cardiac Surgery, Herzklinik der Universität München, Wolkerweg 16, München, 81375, Germany (Email: peter.lamm{at}med.uni-muenchen.de).

The HEARTSTRING Proximal Seal System (Guidant Corp, Santa Clara, CA) is used to avoid aortic clamping while the proximal anastomoses are sewn. To protect surgeons from spurting blood while the device is used, we use a see through plastic sheet to cover the area being operated on. This modified technique is applied whenever the system is used and allows the safe use of the device even in high-risk patients with hepatitis or human immunodeficiency virus.






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