The "sandblasting" effect of aortic cannula on arch atheroma during cardiopulmonary bypass.

@article{Swaminathan2007TheE,
  title={The "sandblasting" effect of aortic cannula on arch atheroma during cardiopulmonary bypass.},
  author={Madhav Swaminathan and Hilary P. Grocott and G. Burkhard Mackensen and Mihai V. Podgoreanu and Donald D. Glower and Joseph P. Mathew},
  journal={Anesthesia and analgesia},
  year={2007},
  volume={104 6},
  pages={
          1350-1
        }
}
69-yr-old woman presented with dyspnea onexertion was found to have moderate-to-severe mitralregurgitation with moderate left ventricular dysfunc-tion (estimated ejection fraction was 30%) and wasscheduled for elective mitral valve repair. The patienthad undergone uneventful coronary artery bypass graftsurgery 7 months earlier. Her medical history was oth-erwise significant for hypertension and diabetes.Intraoperative transesophageal echocardiography(TEE) confirmed moderate mitral regurgitation… 
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On May 6, 1953, John H Gibbon Jr., a Philadelphia surgeon, performed the world’s first successful open heart procedure in which total heart–lung bypass was employed.1 Since that time, aortic…
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