Abstract
Objective
We aimed to develop an antegrade arterial perfusion method that would allow a single suture line on the heart.
Methods
Using an 8-mm Dacron graft sewn to the right axillary artery, we performed antegrade arterial flow and simultaneous endo-occlusion, as well as the delivery of antegrade cardioplegia.
Results
Five patients underwent right axillary antegrade flow, with intention to use axillary endo-occlusion. There were no deaths, axillary artery injuries, or conversions to sternotomy. One patient who had a small (6 mm) axillary artery required femoral arterial balloon placement with axillary arterial flow. When using a 100-mm endobal-loon, transesophageal echo alone is suitable for placement of the endo-balloon. All patients are alive and doing well at least 1 year after surgery.
Conclusions
The right axillary artery is a suitable conduit for simultaneous endo-occlusion, antegrade flow, and antegrade cardioplegia delivery during mitral valve surgery.
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