Semin cardiothorac vasc anesth

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Anesthesia

Seminars in Cardiothoracic and Vascular

 

http://scv.sagepub.com/content/18/2/146

The online version of this article can be found at:

 

DOI: 10.1177/1089253214530519

 2014 18: 146 originally published online 21 April 2014

SEMIN CARDIOTHORAC VASC ANESTH

Kenneth Shann and Serguei Melnitchouk

Advances in Perfusion Techniques: Minimally Invasive Procedures

 

 

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Seminars in Cardiothoracic and Vascular Anesthesia

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- Apr 21, 2014

OnlineFirst Version of Record 

 

- May 29, 2014

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 at UNIV MASSACHUSETTS BOSTON on August 28, 2014

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Seminars in Cardiothoracic and

Vascular Anesthesia

2014, Vol. 18(2) 146 –152

© The Author(s) 2014

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DOI: 10.1177/1089253214530519

scv.sagepub.com

Review

Introduction

Minimally or less-invasive aortic and mitral valve proce-

dures have become common, and compared with conven-

tional procedures have been associated with fewer blood 

transfusions, improved pulmonary function, reduced post-

operative pain, and shorter hospital length of stay.

1-9

 A 

growing demand among patients and referring physicians 

as well as an increasing acceptance within the cardiac sur-

gery community has driven the advancement of cardiopul-

monary bypass (CPB) circuitry, cannulas, and techniques 

to facilitate these procedures. A variety of surgical and per-

fusion techniques for minimally invasive cardiac surgery 

have been reported.

10-12

 It is incumbent on the clinical team 

to have a foundational understanding of these strategies in 

order to appropriately care for each individual patient. 

What follows is an overview of perfusion strategies for 

minimally invasive cardiac surgery, including circuit and 

cannula selection as well as management techniques.