Hexagonal Six-point Traction Technique for Optimum Surgical Exposure of the Subaortic Region.

World J Pediatr Congenit Heart Surg

Walter Sisulu Pediatric Cardiac Center for Africa, Sunninghill Hospital, Johannesburg, South Africa.

Published: July 2011

Surgery of the subaortic region is challenging because of spatial limitations. We present our technique of enhanced exposure of this region that allows for a smooth, expeditious, and safe repair of such lesions as subaortic stenosis, hypertrophic cardiomyopathy, subaortic ventricular septal defects, and related pathologies. Using a hexagonal 6-point traction technique, approximately 84% of the cross-sectional area of the aortic root is made available to the surgeon for a transaortic subaortic resection keeping the use of retractors to a minimum. The technique ensures protection of the aortic valve leaflets and the enhanced exposure may contribute to improved surgical outcomes.

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http://dx.doi.org/10.1177/2150135111400450DOI Listing

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