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Coronary Sinus Injury During Retrograde Cardioplegia: A Report of Three Cases
Author(s) -
Kshettry Vibhu R.,
Salerno Christopher T.,
Lakhanpal Sanjiv,
Kroshus Timothy J.
Publication year - 1996
Publication title -
journal of cardiac surgery
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.428
H-Index - 58
eISSN - 1540-8191
pISSN - 0886-0440
DOI - 10.1111/j.1540-8191.1996.tb00063.x
Subject(s) - medicine , coronary sinus , cardiology , catheter , balloon catheter , muscle hypertrophy , sinus (botany) , balloon , surgery , anesthesia , botany , biology , genus
A bstract 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.