Related Experiment Video
Updated: Jul 16, 2026

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Technique and Patient Selection Criteria of Right Anterior Mini-Thoracotomy for Minimal Access Aortic Valve Replacement
Published on: March 26, 2018
Adequate Venous Drainage Does Not Exclude Cannula Malposition: Right Ventricular Perforation during Minimally
Kensuke Oue1, Moe Kinoshita1, Shintaro Okuda1
1Department of Cardiovascular Surgery, Kochi Health Sciences Center, Ike, Kochi, Kochi, Japan.
Surgical Case Reports
|July 15, 2026
Summary
Femoral venous cannulation for minimally invasive cardiac surgery can lead to right ventricular perforation, even with adequate venous drainage. Blindly advancing cannulas without reassessing position risks serious cardiac injury.
Area of Science:
- Cardiovascular Surgery
- Medical Device Complications
Background:
- Femoral venous cannulation is standard for cardiopulmonary bypass in minimally invasive cardiac surgery.
- Transesophageal echocardiography (TEE) guidance does not always prevent cannula malposition.
- Inadequate venous drainage can mask cardiac perforation, delaying diagnosis.
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