Surgical strategy to prevent cardiac injury during reoperation in infants

doi:10.1186/1749-8090-3-10

Journal of Cardiothoracic Surgery

Volume 3

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Knott-Craig CJ
Goldberg SP
Kirklin JK

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Reservations on SAC

A Protopapas (29 August 2008) Great Ormond Street Hospital

Just a quick comment: cannulating the innominate artery does nothing to prevent cardiac injury upon re-entry, it just offers an option for the aortic pipe IN CASE OF CARDIAC INJURY-we still have to divide the sternum and mostly introduce bicaval cannulae.

I do not see how access for cannulation via the suprasternal notch is safer than redo sternotomy-the tissues are already adhered given the previous sternotomy, particularly where thymectomy and innominate cannulation have taken place in the first operation.The same applies to cavoatrial cannulation without sternotomy-a video showing the technique would be illuminating!

Kindest Regards

Aristotle D Protopapas MSc. FRCS

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Surgical strategy to prevent cardiac injury during reoperation in infants

Reservations on SAC

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