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External Security Stitch for Retrograde Cardioplegia Cannula
Author(s) -
Gabbieri Davide,
Pedulli Marco,
Bianchi Tiziano,
Ghidoni Italo
Publication year - 2009
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.1540-8191.2008.00749.x
Subject(s) - medicine , cannula , coronary sinus , catheter , complication , surgery , displacement (psychology) , sinus (botany) , cardiology , anesthesia , psychology , botany , psychotherapist , biology , genus
Retrograde cardioplegia catheter displacement represents a troublesome complication, frequently forcing the surgeon to interrupt the operative procedure and cannulate newly the coronary sinus. However, this maneuver is time consuming, often implies the loss of surgical exposure, and exposes again the coronary sinus to the risk of iatrogenic injuries. We describe the use of an external security stitch through the muscular right atrial wall to avoid the displacement of a retrograde cardioplegia catheter and analyze the anatomic conditions which predispose to this complication.