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The better can be the enemy of the good. The timing of LV venting during complex open-heart surgery revisited.
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  • Francesco Ferraro,
  • Schlotterbeck H,
  • Scharpf P,
  • Demertzis S,
  • Thomas Theologou
Francesco Ferraro
Cardiocentro Ticino
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Schlotterbeck H
Cardiocentro Ticino
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Scharpf P
Cardiocentro Ticino
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Demertzis S
Cardiocentro Ticino
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Thomas Theologou
Cardiocentro Ticino

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Abstract

We report a young female patient with a complex cardiac surgical history that underwent a redo complex aortic valve replacement. In the context of severe AR and dilated LV, we experienced that it is safer to start the LV venting after aortic cross clamping. In this setting NIRS can be, in this particular context, a useful monitoring tool to prevent potential severe neurological damage.