title: Retrograde coronary sinus cardioplegia cannula placement under short-time circulatory arrest in surgery for a ruptured type A dissection with a previous coronary artery bypass.
abstract: A 79-year-old woman was referred to undergo surgery for a type A dissection. The patient had a history of previous coronary artery bypass. She was in shock and had a hematoma surrounding the ascending aorta and the heart. In this case, a coronary sinus cardioplegia cannula was placed under a short period of circulatory arrest via a small atriotomy, and the atriotomy was closed immediately to establish selective cerebral perfusion.
authors: Department of Cardiovascular Surgery, Social Insurance Chukyo Hospital, 1-1-10 Sanjyo, Minami-ku, Nagoya 457-8510, Japan. tomonobu_abe@chukyo-hosp.jp
authors: Tomonobu
authors: T
authors: Abe
authors: Toshimichi
authors: T
authors: Nonaka
authors: Takafumi
authors: T
authors: Terada
authors: Rei
authors: R
authors: Noda
authors: Yuki
authors: Y
authors: Hatano
authors: Noriyuki
authors: N
authors: Kato
authors: Miwako
authors: M
authors: Kado
authors: Hajime
authors: H
authors: Sakurai
mesh_terms: D000368:Aged; D000784:Aortic Dissection / Q000150:complications / Q000000981:diagnostic imaging / Q000503:physiopathology / Q000601:surgery*; D001019:Aortic Rupture / Q000000981:diagnostic imaging / Q000209:etiology / Q000503:physiopathology / Q000601:surgery*; D001027:Aortography / Q000379:methods; D019917:Blood Vessel Prosthesis Implantation; D002315:Cardiopulmonary Bypass; D057785:Catheters; D002560:Cerebrovascular Circulation; D001026:Coronary Artery Bypass; D054326:Coronary Sinus / Q000503:physiopathology*; D005260:Female; D006324:Heart Arrest, Induced / Q000295:instrumentation / Q000379:methods*; D006406:Hematoma / Q000209:etiology / Q000601:surgery; D006801:Humans; D012501:Saphenous Vein / Q000637:transplantation; D056346:Sternotomy; D013997:Time Factors; D014057:Tomography, X-Ray Computed; D016896:Treatment Outcome