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Cardiac Techniques

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This article discusses the periareolar approach for minimally invasive cardiac surgery, a feasible and safe technique that has aesthetic benefits and gives appropriate surgical visualization.
September 20, 2013
Hybrid aortic procedures have the potential to reduce morbidity and mortality in patients that may not be reasonable candidates for a traditional open operation. This article examines a hybrid procedure performed on a 60-year-old male who had received four previous open-heart operations and who had numerous co-morbidities.
August 26, 2013
The number of ports used in minimally invasive cardiac surgery can be reduced to one with the assistance of the latest technologies and a custom-made instrument. The authors demonstrate a novel single incision technique, where no other ports for instruments and no small incision for femoral cannulation is required.
March 21, 2013
The superior cavopulmonary anastomosis is the first of two operations used in a staged Fontan approach for definitive palliation of functionally single ventricle hearts.
March 21, 2013
The completion Fontan operation is, as the name implies, the final stage of palliation for patients who have had previous surgery to address various types of single ventricle congenital heart disease.
November 12, 2012
Patient Selection Patient Selection, Rationale for Use and Types of Valves All patients with aortic valve disease who are candidates for aortic valve replacement with stented tissue valves.
October 14, 2012
A Dacron sleeve around the dilated ascending aorta is a simple technique that allows the ascending aorta to adopt the shape of the Dacron tube graft which avoids wrinkle formation, dislocation and erosion.
July 19, 2012
Patient Selection Beginner Beating Heart Surgeon (< 50 beating heart cases) The beginner should consider avoiding patients with unfavorable characteristics, such as:
April 11, 2012
The first successful series of patients operated on with a left ventricular-to-right atrial shunt was reported by Frank Gerbode, a noted surgeon at Stanford University. Gerbode described two routes for blood to travel from the left ventricle to the right atrium.
February 2, 2012
A robotic technique is described for first rib resection for Paget Schroetter Disease or “effort thrombosis” of the subclavian vein that allows for en bloc resection of the offending portion of the first rib while minimizing the risk of neurovascular injury.
January 4, 2012
This article describes how a HeartMate XVE left ventricular assist device may be exchanged for a HeartMate II axial-flow pump with low morbidity and mortality and without a full sternotomy.

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