Chitwood aortic clamp

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WebMay 7, 2015 · W. Randolph Chitwood Jr. Emeritus Professor and Chairman, ... Moreover, the aortic-mitral plane angle is determined as is the distance between the coaptation point and ventricular septum. ... peripheral cardiopulmonary bypass is used with cardiac arrest provided using a trans-thoracic Chitwood aortic clamp and Bretschneider’s histidine ... WebThe aorta is exposed and a cardioplegia catheter is placed through the chest wall and into the aortic root and connected to an antegrade cardioplegia delivery system. The aorta is …

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WebJan 9, 2024 · The CHITWOOD cross-clamp was placed through the auxiliary port. As for the administration of cardioplegia, Del-Nido and HTK cardioplegia solutions were more favorable for longer re-dosing intervals. The patients with AS could be anterogradely administrated through the catheter. WebAortic cross clamping There are several approaches to aortic cross clamping that may be used. External cross clamping may be achieved by passing a Chitwood clamp directly through either the second or third intercostal space ( 6, 9, 26 ). bivvy cat insurance

Robotic Endoscopic Mitral Valve Repair: Trans-thoracic Clamp Technique

WebFor cardiac arrest, trans-thoracic Chitwood aortic clamping and antegrade Custodiol HTK cardioplegic solution administration via a needle inserted into the ascending aortic were used. Repair of lesions: closure of the left atrioventricular valve cleft, bovine pericardial patch for the ostium primum defect. WebStandard techniques for cardioplegic arrest of the heart have included endoaortic balloons and Chitwood clamps. Concerns have been raised regarding the potential increased … Web146 East Longmeadow Rd. Greenville, NC 27858. United States. +1 252 347 1436. Emeritus Professor and Founding, Director East Carolina Heart Institute, Emeritus Professor - Department of Cardiovascular Sciences - … bivvy day shelter

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Aortic Cross-Clamp - an overview ScienceDirect Topics

WebJan 24, 2024 · Anterolateral thoracotomy is frequently used for the closure of ostium secundum atrial septal defect (ASD). The cosmetic result has become an important feature. There are various complications of... WebNov 19, 2024 · Aortic clamp and CPB times were 48 and 79 min respectively. Mechanical ventilation time was 3 h and drainage 50 ml in 24 h. The patient was discharged at post-operative day 7. Post-operative trans-oesophageal echocardiography control showed mild to moderate aortic insufficiency which remained stable at 1-year follow-up. Fig. 1 bivvy.com reviewsWebDec 6, 2024 · Aortic cross-clamping is achieved using a minimally invasive clamp with a retractable shaft placed directly through the incision or using a Chitwood Debakey aortic clamp positioned through a separate 5-mm incision in the third interspace on the anterior-mid axillary line. In patients who require root replacement, after resection of the ... date for pearl harbor

"WebNov 24, 2015 · The DeBakey clamp revealed the lowest maximum pressure along the clamp jaws after complete aortic occlusion (1.43 ± 0.49 MPa), whereas the Chitwood clamp's pressure was the highest (3.26 ± 1.93 MPa, P < 0.001). The angled handle Fogarty clamp displayed the lowest difference between maximum pressures across the jaws … " - Chitwood aortic clamp

Chitwood aortic clamp

Unequal pressure distribution along the jaws of currently …

WebNov 26, 2015 · Results: The DeBakey clamp revealed the lowest maximum pressure along the clamp jaws after complete aortic occlusion (1.43 ± 0.49 MPa), whereas the Chitwood clamp's pressure was the highest (3.26 ... WebSo we suggest applying a Chitwood clamp for aortic cross-clamp during surgical ASD closure instead of a conventional aortic cross-clamp to prevent LAA injury [9-10]. Still, if there is any injury, it should be managed by fibrillating the heart temporarily under CPB without cardioplegia. The injury of the LAA should be repaired by 5-0 prolene ...

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WebJan 15, 2024 · A Chitwood aortic cross clamp was placed through the third or fourth intercostal space. Therefore, the incision was spared for defect repair only. Fig. 2. Diagram of right anterolateral incision with thoracoscopy assistance. A Setup of the three ports. The main and assistant ports were in the fourth intercostal space, while the thoracoscopy ... WebOct 14, 2024 · Conventional external aortic clamping (exoclamping) is not always feasible, so endoaortic clamping (endoclamping) has evolved as a viable alternative. The aim of …

WebEach aorta was clamped seven times at different sites with the following clamps: DeBakey, Satinsky, femoral, iliac, Chitwood, angled handle Fogarty and straight handle Fogarty. … WebNov 7, 2024 · Flexible handle aortic clamps. Percutaneous transthoracic (Chitwood) aortic cross-clamp. Intra-aortic balloon occluders. Introduced in retrograde fashion. Echocardiographic guidance and monitoring very important. Dislodgement can cause significant problems. Cardiac air removal: Continuous CO 2 insufflation. Prior to removal …

WebMar 18, 2024 · The central lumen is used for delivery of cardioplegia and aortic root vent. The remaining lumen is used for balloon inflation and deflation as well as pressure monitoring. The transthoracic clamp is called Chitwood clamp, and is introduced through the intercostal space and positioned around the aorta. WebA transthoracic aortic cross clamp (Chitwood clamp, Scanland International Inc.) is introduced through the second intercostal space in the midaxillary line. The cross clamp is positioned with the concave side cranially oriented. Cardiopulmonary bypass is initiated and the heart is decompressed. The patient is cooled to 30°C.

WebAug 28, 2024 · If an intra-aortic endoballoon approach is to be used for aortic clamping, then bilateral radial arterial cannulae will be necessary to monitor migration of the balloon distally to the brachiocephalic …

WebNov 29, 2013 · In most patients, the aortic cross-clamp (Chitwood clamp) injured the left atrial appendage and the ascending aorta. We therefore recommend that the Chitwood clamp should be placed very safely and under visual examination of the ascending aorta and the left atrial appendage. date for nehemiahWebChitwood is a native of Wytheville, Virginia. He graduated from Hampden-Sydney College and received his medical degree from the University of Virginia. He obtained all of his … date for outlayWebThis clamp may be used as an aortic cross-clamp for minimally invasive cardiac procedures for pediatric and small patients. The 1 x 2 DeBakey jaws provide an … date for primary electionWebJan 22, 2024 · Two accessory ports (5 mm) were used to insert the Chitwood aortic clamp (right 3rd ICS, mid-axillary line) and video camera (right 4th ICS). A Mohr atrial retractor (Geister™), long-shafted instruments for minimally invasive surgery (Geister™), and long-shafted knotters were used, along with a Storz™ video camera with a mechanical arm. date for pearl harbor attackWebMar 20, 2024 · A Chitwood aortic cross-clamp is applied through the thoracic port, and cardioplegic arrest is obtained with antegrade delivery of a crystalloid solution. Gravity drainage is enhanced by a vacuum-assisted system. ... The mean CPB time was 147.1 ± 38.7 min, and the aortic cross-clamp time was 101.6 ± 21.3 min. Of these procedures, … bivvy clothesWebApr 17, 2024 · The primary incision was for placing the 30° thoracoscope, the left ventricular venting catheter, cardioplegia needle, CO2 delivery tube, vena cava … date for sec championshipWebJul 24, 2024 · Thereafter, another 1 cm skin incision was performed on the intersection of the second intercostal space with the anterior axillary line for insertion of the Chitwood aortic clamp into the mediastinum. Thereafter, ascending aorta was cross-clamped and cold del Nido cardioplegia was delivered. date for st patrick\u0027s day