External security stitch for retrograde cardioplegia cannula.
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.
Gabbieri
Davide
D
Department of Cardiovascular and Thoracic Surgery, Hesperia Hospital, Via Arquà 80/A, Modena, Italy. dgabbieri@yahoo.it
Pedulli
Marco
M
Bianchi
Tiziano
T
Ghidoni
Italo
I
D006328:Cardiac Catheterization / Q000295:instrumentation*; D002314:Cardioplegic Solutions / Q000008:administration & dosage*; D006325:Heart Atria / Q000601:surgery*; D006801:Humans
D002314:Cardioplegic Solutions