Caption: Figure 2: Aortotomy
revealing TAVI in aortic root.
was closed primarily, air removal procedure via left atrial vent was performed and then cross clamp was removed.
A longitudinal aortotomy
was performed from just above the celiac artery to below the left renal artery.
revealed typical ochronotic pigmentation of a severely calcified aortic valve and aortic intima.
(27-30) The original RDH dressing showed the ability to control minor bleeding (3 mm-deep splenic laceration) in normal and coagulopathic pigs, (31,32) but was ineffective against severe arterial (aortotomy
injury (22)), venous (grade V liver injury (33)), and mixed (femoral artery and vein transection) bleeding in the studies that were conducted in our laboratory and other locations.
-- System does not enlarge or expand the aortotomy
during coupler deployment,
, the resection was started by making two parallel longitudinal incisions in the septum, the first beneath the nadir of the right coronary cusp and the second beneath the commissure between the right and the left coronary cusps.
Following redo sternotomy, a transverse aortotomy
was then performed to inspect and remove the thrombus.
Postoperative aneurysms can be seen at suture lines or at site of cannulation, aortotomy
, needle puncture, or cannulation.
A partial occlusion clamp is then placed on the ascending aorta and an aortotomy
An abnormal localization or an accessory origin of the coronary orifices may disturb performing an aortotomy
incision for aortic valve exposure, preparing a coronary button in root replacement, direct delivery of cardioplegia through the coronary orifices, and approaches for aortic root enlargement.