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Eur J Cardiothorac Surg 2004;26:834-836
© 2004 Elsevier Science NL

How-to-do-it

Aortic valve replacement with continuously perfused beating heart in patients with patent bypass conduits

Fraser W.H. Sutherland*, Mark West, Vivek Pathi

Department of Cardiothoracic Surgery, Level 9, Western Infirmary, Dumbarton Road, Glasgow G11 6NT, UK

Received 27 January 2004; received in revised form 17 June 2004; accepted 1 July 2004.

* Corresponding author. Tel.: +44-141-211-2190; fax: +44-141-211-1751. (E-mail: fraser.sutherland{at}northglasgow.scot.nhs.uk).

We present a technique for replacement of the aortic valve in selected patients undergoing redo surgery in the presence of patent coronary artery bypass grafts and occluded native coronary arteries that affords optimal myocardial protection, limited dissection of the heart and minimal risk of injury to existing grafts, in particular, the internal mammary artery.




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Copyright © 2004 European Association for Cardio-Thoracic Surgery. Published by Elsevier. All rights reserved.