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Interact Cardiovasc Thorac Surg · Nov 2009
Case ReportsA strategy for safe sternal reentry in patients with pseudoaneurysms of the ascending aorta using the PORT-ACCESS EndoCPB system.
- Karl G Reyes, Gosta B Pettersson, Tomislav Mihaljevic, and Eric E Roselli.
- Departments of Thoracic and Cardiovascular Surgery, Cleveland Clinic, Cleveland, OH 44195, USA.
- Interact Cardiovasc Thorac Surg. 2009 Nov 1; 9 (5): 893-5.
AbstractPseudoaneurysms of the ascending aorta developing after previous aortic or aortic valve surgery pose a high risk of exsanguination upon sternal reentry. In the past, femorofemoral bypass and hypothermic circulatory arrest before sternotomy was the preferred approach. Today, however, availability of the PORT-ACCESS EndoCPB system (Edwards Lifesciences, Irvine, CA, USA) allows for endovascular clamping and cardioplegia before sternotomy, avoiding circulatory arrest.
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