Warning hint of a hidden early left main stem bifurcation during antegrade cardioplegia.
The short left main trunk with early bifurcation is a common variation of the left coronary anatomy and is easily overlooked during antegrade selective cardioplegia resulting in the risk of single branch perfusion. We describe an obvious characteristic sign to detect this pitfall during blood cardioplegia.
Erasmi
Armin W
AW
Clinic of Cardiac Surgery, University Clinic of Luebeck, Luebeck, Germany.
Misfeld
Martin
M
Sievers
Hans-H
HH
D003331:Coronary Vessels / Q000033:anatomy & histology*; D006324:Heart Arrest, Induced / Q000379:methods*; D006801:Humans