title: Avoidance of Coronary Sinus Injury During Retrograde Cardioplegia.
abstract: Coronary sinus injury is a rare but critical complication of retrograde cardioplegia. Even after detection, successful repair with a pericardial patch is not always attained. Malalignment of the infusion cannula relative to the coronary sinus is likely to be partially responsible for the injury. Monitoring the location of the cannula tip can help prevent injury. Transesophageal echocardiography can indicate the vascular structure within which the cannula is located. This finding may be useful in preventing injury to the coronary sinus or middle cardiac vein.
authors.affiliation: Second Department of Surgery, Kochi Medical School, Kochi, Japan. Electronic address: orihashik@kochi-u.ac.jp.
authors.forename: Kazumasa
authors.initials: K
authors.lastname: Orihashi
authors.affiliation: Second Department of Surgery, Kochi Medical School, Kochi, Japan.
authors.forename: Kohei
authors.initials: K
authors.lastname: Miyashita
authors.affiliation: Second Department of Surgery, Kochi Medical School, Kochi, Japan.
authors.forename: Miwa
authors.initials: M
authors.lastname: Tashiro
authors.affiliation: Second Department of Surgery, Kochi Medical School, Kochi, Japan.
authors.forename: Kazuki
authors.initials: K
authors.lastname: Kihara
authors.affiliation: Second Department of Surgery, Kochi Medical School, Kochi, Japan.
authors.forename: Nobuo
authors.initials: N
authors.lastname: Kondo
authors.affiliation: Second Department of Surgery, Kochi Medical School, Kochi, Japan.
authors.forename: Masaki
authors.initials: M
authors.lastname: Yamamoto
authors.affiliation: Second Department of Surgery, Kochi Medical School, Kochi, Japan.
authors.forename: Nobuyuki
authors.initials: N
authors.lastname: Hirose
authors.affiliation: Second Department of Surgery, Kochi Medical School, Kochi, Japan.
authors.forename: Takashi
authors.initials: T
authors.lastname: Fukutomi
authors.affiliation: Second Department of Surgery, Kochi Medical School, Kochi, Japan.
authors.forename: Hideaki
authors.initials: H
authors.lastname: Nishimori
mesh_terms: D054326:Coronary Sinus / Q000293:injuries*; D017548:Echocardiography, Transesophageal; D006324:Heart Arrest, Induced / Q000009:adverse effects*; D006801:Humans