Redo cardiac surgery in a patient with severe peripheral vascular disease and pericardial adhesions using subclavian arterial cannulation and port-access technology.
Patients viewed as conventionally inoperative candidates are now given alternative surgical choices. The ability to provide new technology such as the port-access minimally invasive approach, kinetic venous assist, and specialized cannulae have made this possible. This case report discusses the ability to apply and modify this new technology to provide a successful surgical outcome in a patient with severe peripheral vascular disease and dense mediastinal adhesions.
Dennis
J R
JR
Department of Surgery and Anesthesiology, Holy Cross Hospital, Ft. Lauderdale, Florida 33308, USA.
Megano
N
N
Habal
S M
SM
David
I B
IB
Strogen
C
C
D000368:Aged; D006348:Cardiac Surgical Procedures / Q000379:methods*; D002406:Catheterization, Peripheral; D006801:Humans; D008297:Male; D019060:Minimally Invasive Surgical Procedures; D008944:Mitral Valve Insufficiency / Q000150:complications / Q000601:surgery; D010496:Pericardium / Q000473:pathology*; D016491:Peripheral Vascular Diseases / Q000150:complications*; D012086:Reoperation; D013348:Subclavian Artery; D000267:Tissue Adhesions