Single Venous Return for Mitral Valve Operations

Author:

Gammie James S.1,Vander Salm Thomas J.2

Affiliation:

1. Division of Cardiac Surgery, University of Maryland Medical Center, Baltimore, MD

2. North Shore Medical Center, Salem, MA.

Abstract

Objective Most cardiac surgeons routinely perform bicaval venous cannulation for mitral valve operations. We describe the technique and advantage of a single-venous cannulation strategy. Methods/Results Single venous cannulation with a 29-French small-bore cannula (facilitated by vacuum-assisted venous drainage) yields reliable decompression of the right heart and affords outstanding exposure of the mitral valve. Conclusions We recommend and use this technique for all mitral valve operations not requiring opening the right atrium.

Publisher

SAGE Publications

Subject

Cardiology and Cardiovascular Medicine,General Medicine,Surgery,Pulmonary and Respiratory Medicine

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