Antegrade Cardioplegia Decannulation Using the Cor-Knot System in Minimally Invasive Mitral Valve Surgery. Issue 2 (March 2017)

• Record Type: Journal Article
• Authors: Hashim, Sabet W.; Pang, Philip Y.K.
• Is Part Of: Innovations. Volume 12:Issue 2(2017)
• Page Start: 150
• Page End: 151
• Publication Date: 2017-03
• Subjects: Minimally invasive cardiac surgery -- Mitral valve repair -- Antegrade cardioplegia -- Suture fasteners; Cardiovascular system -- Surgery -- Periodicals; Heart -- Surgery -- Periodicals; Blood-vessels -- Surgery -- Periodicals; Chest -- Surgery -- Periodicals; Thoracic Surgical Procedures -- methods -- Periodicals; Vascular Surgical Procedures -- methods -- Periodicals; Thorax -- Chirurgie -- Méthodologie -- Périodiques; Vaisseaux sanguins -- Chirurgie -- Méthodologie -- Périodiques; Blood-vessels -- Surgery; Chest -- Surgery; Periodicals; 617.41
• DOI: 10.1177/155698451701200214
• Languages: English
• ISSNs: 1556-9845

Abstract

A right mini-thoracotomy approach may be used for mitral valve repair without compromising clinical outcomes. Compared with conventional sternotomy, there is an increased distance to the cardiac structures from the mini-thoracotomy incision, which makes certain technical acts more demanding. One particular challenge is hemostasis at the antegrade cardioplegia cannula site. We propose a novel technique to remove an antegrade cardioplegia cannula using the COR-KNOT system. This technique negates the need for tying with a knot pusher and reduces the risk of aortic injury and troublesome bleeding.