[HSF] ischemic VSD repairs without aortic cross clamping

[Tea Acuff]

It is pretty easy to deair while placing a patch on the anterior wall...
tea


----- Original Message ----
From: prasannasimha <prasannasimha at gmail.com>
To: OpenHeart-L at lists.hsforum.com
Sent: Friday, March 9, 2007 6:31:27 AM
Subject: Re: [HSF] ischemic VSD repairs without aortic cross clamping


The original report was that of Jatene  who did it open beating.
Incidentally while reading about air embolism, I remember reading 
Lillehei's original technique of VSD closure with there being no cross 
clamp. The principle was that as long as the hole in the RV was bigger 
than the aorta, air would eject along the path of the larger hole which 
was the basis by which they avoided air embolism. I know some surgeons 
who repair the valve and place a large catheter (chest  tube) across the 
Mitral valve and just unclamp the aorta and close the LA while the heart 
is beating and the heart automatically de-airs via the catheter (chest 
tube) placed across the frustrated mitral valve which is in turn 
connected to a vent.
Prasanna
Hgrmd at aol.com wrote:
> Tomas,
>   I realize the operation can be done with the heart beating.   How many have 
> you done?  What were the results?
> Hal
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