title: Continuous coronary perfusion in redo aortic valve replacement following prior coronary surgery; an old trick for new dogs?
abstract: The optimal myocardial protection method for aortic valve replacement in the setting of prior coronary artery bypass surgery remains a subject of debate. Protection is particularly challenging when a patent pedicled internal thoracic artery graft supplies a proximally obstructed left anterior descending artery. Herein, we describe a modification of an old technique; continuous coronary perfusion, which can be used in selected, anatomically suitable cases.
authors.affiliation: Department of Cardiac Surgery, Queen Elizabeth Hospital, University Hospital NHS Trust, Birmingham, UK.
authors.forename: Jegatheesan Saravana
authors.initials: JS
authors.lastname: Ganesh
authors.forename: Robert S
authors.initials: RS
authors.lastname: Bonser
mesh_terms: D000368:Aged; D001021:Aortic Valve / Q000503:physiopathology / Q000601:surgery*; D001022:Aortic Valve Insufficiency / Q000503:physiopathology / Q000601:surgery*; D001024:Aortic Valve Stenosis / Q000503:physiopathology / Q000601:surgery*; D002315:Cardiopulmonary Bypass; D001026:Coronary Artery Bypass; D003324:Coronary Artery Disease / Q000601:surgery*; D003326:Coronary Circulation; D006324:Heart Arrest, Induced; D019918:Heart Valve Prosthesis Implantation / Q000009:adverse effects; D006801:Humans; D008297:Male; D010477:Perfusion / Q000379:methods*; D056346:Sternotomy; D016896:Treatment Outcome