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MMCTS (October 9, 2006). doi:10.1510/mmcts.2005.001206
Copyright © 2006 European Association for Cardio-thoracic Surgery

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Gerhard Wimmer-Greinecker
Omer Dzemali
Tayfun Aybek
Anton Moritz
Selami Dogan
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Right arrow Cardiopulmonary bypass
 

Procedure


Perfusion strategies for totally endoscopic cardiac surgery

Gerhard Wimmer-Greineckera,*, Omer Dzemalia, Tayfun Aybeka, Harald Kellera, Stefan Mierdlb, Anton Moritza and Selami Dogana

a Department for Thoracic and Cardiovascular Surgery, JW Goethe University, Theodor-Stern-Kai 7, D-60590 Frankfurt, Germany
b Department for Anesthesiology, Intensive Care and Pain Therapy, JW Goethe University, Theodor-Stern-Kai 7, D-60590 Frankfurt, Germany

* Corresponding author: * Tel.: +49-69-6301 4071; fax: +49-69-6301 5849. E-mail: Wimmer-Greinecker{at}em.uni-frankfurt.de

For most of totally endoscopic cardiac procedures femoro-femoral perfusion techniques are necessary. Use of selective bicaval as well as single venous drainage is described. Furthermore, the use of different intraaortic balloons for aortic occlusion is explained and illustrated. Advantages and disadvantages of different systems, potential pitfalls and their solutions are discussed.

Key Words: Endoaortic balloon • PortAccess cardiopulmonary bypass • Robotically assisted cardiac surgery • Totally endoscopic cardiac surgery • Vacuum assisted venous drainage

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Copyright © 2006 by The European Association for Cardio-thoracic Surgery.