PLSVC as a Pitfall of Retrograde Cardioplegia.
10.4326/jjcvs.22.135
- VernacularTitle:逆行性心筋保護法のｐｉｔｆａｌｌ ＰＬＳＶＣ
- Author:
Hiroaki KURODA
;
Akihiko INOUE
;
Naoaki TAKEMOTO
;
Shingo ISHIGURO
;
Seiichiro SASAKI
;
Tohru MORI
- Publication Type:Journal Article
- From:Japanese Journal of Cardiovascular Surgery
1993;22(2):135-137
- CountryJapan
- Language:Japanese
-
Abstract:
Retrograde cardioplegia is now an alternative or adjunctive method used worldwide as a cardiac protection during open heart surgery. However, its use involves some limitation. We operated on a patient suffering from aortic stenosis associated with PLSVC. During the operation on this patient for aortic valve replacement, retrograde infusion of cardioplegic solution could not be performed because the coronary sinus was excessively dilated and prevented the balloon from occluding it. Other anomalous lesion of the coronary sinus make the retrograde infusion of the cardioplegic solution difficult and these must always be kept in mind when cardioplegia is infused from the coronary sinus.
