Ninety-degree anterior cardiac displacement in off-pump coronary artery bypass grafting: the Starfish cardiac positioner preserves stroke volume and arterial.

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Presentation transcript:

Ninety-degree anterior cardiac displacement in off-pump coronary artery bypass grafting: the Starfish cardiac positioner preserves stroke volume and arterial pressure Paul F Gründeman, MD, PhD, Cees W.J Verlaan, Wim Jan van Boven, MD, Cornelius Borst, MD, PhD The Annals of Thoracic Surgery Volume 78, Issue 2, Pages 679-684 (August 2004) DOI: 10.1016/S0003-4975(03)01363-8

Fig 1 Comparison of hemodynamics upon vertical displacement of the beating porcine heart with the Starfish cardiac positioner. Mean percentage of baseline values ± SEM. (A) Stroke volume. (B) Mean arterial pressure. (C) Right ventricular end-diastolic pressure (white bars) and left ventricular end-diastolic pressure (black bars). Compared with baseline: *p < 0.05, $p < 0.01, #p < 0.001. Symbols from left to right represent respectively: suction positioner fixed to apex; vertical displacement; vertical displacement plus Trendelenburg maneuver; heart in anatomic position, table = horizontal. The Annals of Thoracic Surgery 2004 78, 679-684DOI: (10.1016/S0003-4975(03)01363-8)

Fig 2 The porcine heart retracted with the Starfish cardiac positioner (apex pointing anteriorly). Caudal to craniad view on the posterior aspect exposing the distal right coronary artery and remote obtuse marginal branches of the circumflex coronary artery. The Annals of Thoracic Surgery 2004 78, 679-684DOI: (10.1016/S0003-4975(03)01363-8)

The Annals of Thoracic Surgery 2004 78, 679-684DOI: (10 The Annals of Thoracic Surgery 2004 78, 679-684DOI: (10.1016/S0003-4975(03)01363-8)

The Annals of Thoracic Surgery 2004 78, 679-684DOI: (10 The Annals of Thoracic Surgery 2004 78, 679-684DOI: (10.1016/S0003-4975(03)01363-8)

The Annals of Thoracic Surgery 2004 78, 679-684DOI: (10 The Annals of Thoracic Surgery 2004 78, 679-684DOI: (10.1016/S0003-4975(03)01363-8)

The Annals of Thoracic Surgery 2004 78, 679-684DOI: (10 The Annals of Thoracic Surgery 2004 78, 679-684DOI: (10.1016/S0003-4975(03)01363-8)

The Annals of Thoracic Surgery 2004 78, 679-684DOI: (10 The Annals of Thoracic Surgery 2004 78, 679-684DOI: (10.1016/S0003-4975(03)01363-8)

The Annals of Thoracic Surgery 2004 78, 679-684DOI: (10 The Annals of Thoracic Surgery 2004 78, 679-684DOI: (10.1016/S0003-4975(03)01363-8)