What can be done in a patient who is perfused with a smart canula ® crossing the right atrium and the latter has to be opened?

Several options are available here. The vena cava and smart canula ® can be snared down together on the side of insertion and a solution has to be found for drainage of the second vena cava. For a short period, this may be handled with the cardiotomy suction.

Alternatively, a second venous cannula may be necessary. Opening of the right atrium will reveal the snared smart canula ®, which will re-expand once the snare is released. More.

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