Combined Replacement of Aortic Valve and Ascending Aorta with Patent Foramen Ovale (PFO) Closure
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- Title
- 1. Introduction
- 2. Midline Incision
- 3. Midline Sternotomy with an Oscillating Saw
- 4. Hemostasis and Heparinization
- 5. Sternal Retraction and Pericardiotomy to Expose the Heart and Aorta
- 6. Distal Aortic Arch Cannulation
- 7. Bicaval Cannulation (for Later PFO Closure)
- 8. Stop Ventilation and Place a Vent into the Left Ventricle Using the Right Superior Pulmonary Vein
- 9. Separate Aorta from Pulmonary Artery
- 10. Test Snares of the SVC and IVC
- 11. Electromechanical Arrest via a Cross Clamp on the Ascending Aorta and Cardioplegia Directly into the Aorta
- 12. Aortic Transection
- 13. Excision of Dilated Ascending Aorta Above the Coronary Arteries
- 14. Aortic Valve Inspection
- 15. Aortic Valve Excision and Debridement with Extreme Care to Prevent Calcifications from Entering the Heart
- 16. Sizing Annulus and Choosing Replacement Valve
- 17. Aortic Valve Replacement
- 18. Ascending Aorta Replacement
- 19. PFO Closure
- 20. De-airing Maneuvers and Reanimating the Heart
- 21. Reperfusion and Rewarming
- 22. Decannulation and Separation from Cardiopulmonary Bypass
- 23. Hemostasis
- 24. Closure
- 25. Post-op Remarks
English
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Authors
Filmed At:
Massachusetts General Hospital
Article Information
| Publication Date | ||
|---|---|---|
| Article ID | 425 | |
| Production ID | 0425 | |
| Volume | 2025 | |
| Issue | 425 | |
| DOI | ||
| https://doi.org/10.24296/jomi/425 | ||