A transthoracic, left ventricular vent facilitates challenging sternal reentry

Ann Thorac Surg. 2010 Aug;90(2):679-80. doi: 10.1016/j.athoracsur.2009.09.006.


In this brief report, we describe a technique to facilitate hypothermic arrest before a redo sternotomy that is likely to require extensive dissection. This approach may be well-suited for patients with significant aortic insufficiency, as it allows control of left ventricular distention once hypothermic ventricular fibrillation ensues. The procedure entails inserting a second venous cannula through the left ventricular apex through a 7-cm left mini-thoracotomy. We used the technique successfully in a patient with a ruptured, infected ascending aortic pseudoaneurysm and severe aortic insufficiency who had undergone a previous sternotomy.

Publication types

  • Case Reports

MeSH terms

  • Aneurysm, False / surgery*
  • Aortic Aneurysm, Thoracic / surgery*
  • Aortic Rupture / surgery*
  • Cardiac Catheterization
  • Circulatory Arrest, Deep Hypothermia Induced*
  • Humans
  • Male
  • Middle Aged
  • Reoperation
  • Sternum / surgery*