FIELD: medicine; cardiovascular surgery.
SUBSTANCE: before performing a supracoronary myotomy, a series of preventive U-shaped sutures on the spacers are applied to the intraventricular segment of the artery, capturing all layers of the heart, and a longitudinal supracoronary myotomy of the muscle bridge tissues over the coronary artery is performed. Then the right ventricular defect is eliminated by tightening and fixing the imposed preventive U-shaped sutures.
EFFECT: method allows minimizing intraoperative blood loss and, consequently, the need for blood transfusion therapy; reducing the likelihood of emergency conversion to artificial circulation; performing a supracoronary myotomy with the removal of the artery to the epicardial position.
1 cl, 1 ex, 4 dwg
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Authors
Dates
2022-02-10—Published
2021-05-31—Filed