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Case Reports
. 2011 Mar;59(3):187-90.
doi: 10.1007/s11748-010-0653-4. Epub 2011 Mar 30.

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

Tomonobu Abe  1 , Toshimichi Nonaka, Takafumi Terada, Rei Noda, Yuki Hatano, Noriyuki Kato, Miwako Kado, Hajime Sakurai
Affiliations
Case Reports

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

Tomonobu Abe et al. Gen Thorac Cardiovasc Surg. 2011 Mar.

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.

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