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Modified Valsalva Maneuver for Venous Cannulation in Cardiopulmonary Bypass for Minimal Incision Mitral Valve Surgery.

Innovations (Phila)

May 2017

From the Departments of *Cardiothoracic Surgery and †Anaesthesia, Sir Charles Gairdner Hospital, Nedlands, Western Australia; and ‡School of Medicine Fremantle, The University of Notre Dame Australia and The Baird Institute, Newtown, New South Wales, Australia.

A 69-year-old man underwent minimal incision mitral valve repair for severe symptomatic mitral regurgitation. The echocardiography showed that he had normal left ventricular function with a moderately to severely dilated left atrium, a mildly dilated right atrium, and a large patent foramen ovale. The multistage venous cannulation was very challenging because we could not negotiate the guide wire from the inferior vena cava via the right atrium into the superior vena cava.

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