title: Perfusion techniques for minimally invasive valve procedures.
abstract: In this paper, we present, in detail, the simplified perfusion technique that we have adopted since January 2009 and that we have utilized in 200 cases for cardiac minimally invasive valvular procedures that were performed through a right lateral mini-thoracotomy in the 3(rd)-4(th) intercostal space. Cardiopulmonary bypass was achieved by means of the direct cannulation of the ascending aorta and the insertion of a percutaneous venous cannula in the femoral vein. A flexible aortic cross-clamp was applied through the skin incision and cardioplegic arrest was obtained with the antegrade delivery of a crystalloid solution. Gravity drainage was enhanced by vacuum-assisted aspiration. There were no technical complications related to this perfusion technique that we have adopted in minimally invasive surgical procedures.
authors.affiliation: Service of Perfusion, Policlinico di Monza, Clinica San Gaudenzio, Novara, Italy annette.dejong.lanzillo@gmail.com.
authors.forename: A
authors.initials: A
authors.lastname: de Jong
authors.affiliation: Department of Cardiac Surgery, Policlinico di Monza, Clinica San Gaudenzio, Novara, Italy.
authors.forename: B A
authors.initials: BA
authors.lastname: Popa
authors.affiliation: Department of Cardiac Surgery, Policlinico di Monza, Clinica San Gaudenzio, Novara, Italy.
authors.forename: E
authors.initials: E
authors.lastname: Stelian
authors.affiliation: Department of Cardiac Surgery, Policlinico di Monza, Clinica San Gaudenzio, Novara, Italy.
authors.forename: L
authors.initials: L
authors.lastname: Karazanishvili
authors.affiliation: Department of Cardiac Surgery, Policlinico di Monza, Clinica San Gaudenzio, Novara, Italy.
authors.forename: G
authors.initials: G
authors.lastname: Lanzillo
authors.affiliation: Department of Cardiac Surgery, Policlinico di Monza, Clinica San Gaudenzio, Novara, Italy.
authors.forename: S
authors.initials: S
authors.lastname: Simonini
authors.affiliation: Service of Perfusion, Policlinico di Monza, Clinica San Gaudenzio, Novara, Italy.
authors.forename: L
authors.initials: L
authors.lastname: Renzi
authors.affiliation: Department of Cardiac Surgery, Policlinico di Monza, Clinica San Gaudenzio, Novara, Italy.
authors.forename: M
authors.initials: M
authors.lastname: Diena
authors.affiliation: Department of Cardiac Surgery, Policlinico di Monza, Clinica San Gaudenzio, Novara, Italy.
authors.forename: U F
authors.initials: UF
authors.lastname: Tesler
mesh_terms: D001011:Aorta / Q000601:surgery*; D002315:Cardiopulmonary Bypass / Q000379:methods*; D000077324:Crystalloid Solutions; D006324:Heart Arrest, Induced / Q000379:methods*; D006351:Heart Valves / Q000601:surgery*; D006801:Humans; D007552:Isotonic Solutions / Q000627:therapeutic use*; D019060:Minimally Invasive Surgical Procedures / Q000379:methods*
chemical_list: D000077324:Crystalloid Solutions; D007552:Isotonic Solutions
keywords: Custodiol cardioplegic solution; cardiopulmonary bypass; minimally invasive surgery; perfusion techniques; valvular procedures