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Methods Our strategy for CPB management for MICS was as below: we evaluated atherosclerotic lesions in MICS candidates with CT examination in order to investigate condition of inner cavity of the aorta or arteries, especially the presence of intramural thrombus. In cases of no lesion of possible arteriosclerosis, we selected peripheral perfusion. Otherwise, we used central arterial perfusion with direct cannulation on the ascending aorta. For venous drainage, two-staged venous cannula via the femoral vein and additional SVC cannulation was applied. From November 2007 to April 2013, we had 81 (32 females, mean age of 68.3 +/11.8 y.o.) for MVP or MVR with/without TAP or Maze including 6 redo cases. After evaluation for atherosclerosis, we had applied peripheral perfusion in 9 cases (11%). The other cases were required the ascending aortic cannulation.

Minimally invasive mitral and tricuspid valve surgery using central arterial perfusion