PMID: 8969382Sep 1, 1996Paper

Coronary sinus injury during retrograde cardioplegia: a report of three cases

Journal of Cardiac Surgery
V R KshettryT J Kroshus

Abstract

Coronary sinus injuries related to the use of retrograde cardioplegia are uncommon. In most cases injuries are encountered with overinflation of the coronary sinus catheter balloon or traumatic catheter insertion. This article describes three cases of coronary sinus injury during retrograde cardioplegia administration in patients with ventricular hypertrophy, while the heart was manually retracted to expose the posterior myocardium. We propose that the risk of coronary sinus injury during retrograde cardioplegia, in patients with left ventricular hypertrophy, can be minimized by avoiding excessive retraction of the heart, deflation of the retrograde catheter during retraction, and the use of a left ventricular vent.

References

Dec 1, 1992·The Annals of Thoracic Surgery·A L PanosT A Salerno
Feb 11, 1992·The Annals of Thoracic Surgery·W R Chitwood
Feb 1, 1994·The Annals of Thoracic Surgery·A G FleisherG E Reed

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Citations

Jul 5, 2003·The Annals of Thoracic Surgery·George C EconomopoulosGeorge E Sarris
Aug 26, 2000·Cardiovascular Surgery : Official Journal of the International Society for Cardiovascular Surgery·T K KaulC R Jones
Sep 18, 2013·Anatomical Science International·Sanjib Kumar GhoshAnita Tuli
Jun 25, 2010·Journal of Cardiothoracic and Vascular Anesthesia·Jonathan KraidinAlann Solina
Mar 28, 2006·The Annals of Thoracic Surgery·Clemens AignerWerner Mohl
Sep 1, 1999·Journal of Cardiothoracic and Vascular Anesthesia·R J KinkophC Hearn
Jan 31, 2002·Perfusion·Mark KuruszPaul S Brown
Oct 17, 2020·Indian Journal of Thoracic and Cardiovascular Surgery : Official Organ, Association of Thoracic and Cardiovascular Surgeons of India·Yoshinori Nakahara, Takeyuki Kanemura
Sep 4, 2018·The Journal of Thoracic and Cardiovascular Surgery·Luca WeltertRuggero De Paulis

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