Avoidance of Coronary Sinus Injury During Retrograde Cardioplegia

Coronary sinus injury is a rare but critical complication of retrograde cardioplegia. Even after detection, successful repair with a pericardial patch is not always attained. Malalignment of the infusion cannula relative to the coronary sinus is likely to be partially responsible for the injury. Mon...

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Veröffentlicht in:The Annals of thoracic surgery 2016-12, Vol.102 (6), p.e583-e586
Hauptverfasser: Orihashi, Kazumasa, MD, Miyashita, Kohei, MD, Tashiro, Miwa, MD, Kihara, Kazuki, MD, Kondo, Nobuo, MD, Yamamoto, Masaki, MD, Hirose, Nobuyuki, MD, Fukutomi, Takashi, MD, Nishimori, Hideaki, MD
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container_issue 6
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container_title The Annals of thoracic surgery
container_volume 102
creator Orihashi, Kazumasa, MD
Miyashita, Kohei, MD
Tashiro, Miwa, MD
Kihara, Kazuki, MD
Kondo, Nobuo, MD
Yamamoto, Masaki, MD
Hirose, Nobuyuki, MD
Fukutomi, Takashi, MD
Nishimori, Hideaki, MD
description Coronary sinus injury is a rare but critical complication of retrograde cardioplegia. Even after detection, successful repair with a pericardial patch is not always attained. Malalignment of the infusion cannula relative to the coronary sinus is likely to be partially responsible for the injury. Monitoring the location of the cannula tip can help prevent injury. Transesophageal echocardiography can indicate the vascular structure within which the cannula is located. This finding may be useful in preventing injury to the coronary sinus or middle cardiac vein.
doi_str_mv 10.1016/j.athoracsur.2016.06.022
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source MEDLINE; Elsevier ScienceDirect Journals; Elektronische Zeitschriftenbibliothek - Frei zugängliche E-Journals; Alma/SFX Local Collection
subjects Cardiothoracic Surgery
Coronary Sinus - injuries
Echocardiography, Transesophageal
Heart Arrest, Induced - adverse effects
Humans
Surgery
title Avoidance of Coronary Sinus Injury During Retrograde Cardioplegia
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