MINIMALLY INVASIVE cardiac surgery is becoming increasingly and has advantages, but
it involves decreased surgical exposure. The authors report a case in which a minimally
invasive approach to the aortic valve precluded manual palpation of the left ventricle
during administration of antegrade cardioplegia. Transesophageal echocardiography
(TEE) showed maldistribution of cardioplegia, with the solution entering the left
ventricle and, subsequently, left atrium, through incompetent aortic and mitral valves.
This led to a change in the surgical plan, successful myocardial protection, and good
outcome.
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Published online: April 03, 2013
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© 2013 Elsevier Inc. Published by Elsevier Inc. All rights reserved.
