The Endo-Aortic Balloon Technique in Totally Endoscopic Atrioventricular Valve Surgery
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Author / Producer
Date
2023
Publication Type
Book Chapter
ETH Bibliography
yes
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Abstract
Minimally invasive cardiac surgery through a right (antero) lateral mini-thoracotomy approach evolved as standard of care for the treatment of pathologies affecting the atrio-ventricular valves. To perform this procedure, surgeons across the world either use the external trans-thoracic aortic cross-clamp (TTC), which can be applied directly across the ascending aorta from the right chest or perform endo-aortic balloon occlusion with a balloon clamp introduced from the groin into the ascending aorta just above the sinotubular junction. The endo-aortic balloon occlusion catheter carries the balloon at its tip and consists of three lumina (one for delivery of cardioplegia and aortic root venting; one for balloon inflation and deflation; one for aortic root pressure monitoring). Balloon placement is facilitated by transesophageal echocardiography and is contraindicated in cases of ascending aorta diameter >42 mm.
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Publication status
published
Editor
Book title
Endoscopic Cardiac Surgery. Tips, Tricks and Traps
Journal / series
Volume
Pages / Article No.
143 - 150
Publisher
Springer
Event
Edition / version
1st Edition
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Date collected
Date created
Subject
Cardiac surgery; Endo-Aortic Balloon Occlusion (EABO); EAB technique; IntraClude; Aortic cross-clamp; Mitral valve; Tricuspid valve; Minimally Invasive Mitral Valve Surgery; Endoscopic surgery