Does antegrade arterial perfusion reduce neurological complications and aortic dissection compared to retrograde perfusion in patients undergoing minimally invasive mitral-valve surgery?
Antegrade perfusion via central aortic cannulation avoids the higher incidence of neurological complications and aortic dissection associated with retrograde perfusion in minimally invasive mitral valve surgery.
Minimally invasive mitral valve procedure can be performed with low morbidity and mortality. The use of retrograde perfusion is associated with a higher incidence of neurological complications and aortic dissection when compared with antegrade perfusion. Central aortic cannulation allows the avoidance of complications associated with retrograde perfusion while extending the suitability of minimally invasive mitral procedures also to those patients who have an absolute contraindication to femoral artery cannulation.
Murzi et al. (Tue,) studied this question.
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