eComment: Cardioplegia in coronary artery fistula to coronary sinus

Hajj-Chahine, Jamil; Belmonte, R.; Lefant, Pierre-Yves; Tomasi, Jacques

doi:10.1510/icvts.2011.283689b

Cited by 2 publications

(3 citation statements)

References 3 publications

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“…We add another reason, which is to confirm hemostasis of fistulas and aneurysms. Others also agree with our recommendation to use retrograde cardioplegia [6]. This ensures myocardial protection in the presence of coronary to pulmonary artery fistulas where stealing may occur during antegrade administration.…”

Section: Concomitantsupporting

confidence: 54%

“…Cardioplegic arrest and use of antegrade cardioplegia are essential for confirming closure of fistulas and hemostasis, as mentioned. We recommend oppressing the fistulas to prevent stealing of solution during antegrade cardioplegic administration, as stated by some authors [1,6,7]. For the same reason, Maeda et al, plan to close as many fistulas as possible before initiating cardiopulmonary bypass in their operations [8].…”

Section: Concomitantmentioning

confidence: 99%

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Standardization of operations for coronary to pulmonary artery fistulas

Taguchi

Mori²,

Suzuki³

et al. 2013

Cardio Vasc Syst

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Background: For coronary to pulmonary artery fistulas, operations are often indicated by the existence of myocardial ischemia or aneurysmal formations. Because lesions do not form in identical ways, a variety of surgical procedures are performed. We propose standardizing this operation for a safer and more reliable outcome. Methods: We evaluated 8 cases of operations for coronary to pulmonary artery fistulas. A concrete standard method for this operation was sought from the case results. Results: Standardization is summarized as: 1) Precise analysis of preoperative coronary angiography. 2) Thorough closure of fistulas and aneurysms. Cardiac arrest is preferred. 3) Perform as less pulmonary arteriotomy as possible. Use bicaval cannulation just in case of pulmonary arteriotomy. 4) During antegrade cardioplegic administration, oppress the fistulas to prevent stealing of solution. Use antegrade cardioplegia to confirm closure and hemostasis of fistulas and aneurysms. 5) Also use retrograde cardioplegia to ensure myocardial protection. Conclusions: Because there are variations among lesions of coronary to pulmonary artery fistulas, we propose some practical methods that can be applied in common to take account of such anomalies.

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Section: Concomitantsupporting

confidence: 54%

Section: Concomitantmentioning

confidence: 99%

Standardization of operations for coronary to pulmonary artery fistulas

Taguchi

Mori²,

Suzuki³

et al. 2013

Cardio Vasc Syst

View full text Add to dashboard Cite

show abstract

“…pseudo-mitral valve stenosis), thrombus formation, and aneurysm dissection and/or rupture [ 22 , 23 ]. In these patients undergoing cardiac surgery, myocardial protection is poorly achieved because of run-off of cardioplegic solution into the right atrium [ 24 ].…”

Section: Anomalies Of the Csmentioning

confidence: 99%

Computed Tomography and Magnetic Resonance Imaging of the Coronary Sinus: Anatomic Variants and Congenital Anomalies

et al. 2014

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The coronary sinus (CS) is an important vascular structure that allows for access into the coronary veins in multiple interventional cardiology procedures, including catheter ablation of arrhythmias, pacemaker implantation and retrograde cardioplegia. The success of these procedures is facilitated by the knowledge of the CS anatomy, in particular the recognition of its variants and anomalies. This pictorial essay reviews the spectrum of CS anomalies, with particular attention to the distinction between clinically benign variants and life-threatening defects. Emphasis will be placed on the important role of cardiac CT and cardiovascular magnetic resonance in providing detailed anatomic and functional information of the CS and its relationship to surrounding cardiac structures.Teaching Points• Cardiac CT and cardiovascular magnetic resonance offer 3D high-resolution mapping of the coronary sinus in pre-surgical planning.• Congenital coronary sinus enlargement occurs in the presence or absence of a left-to-right shunt.• Lack of recognition of coronary sinus anomalies can lead to adverse outcomes in cardiac procedures.• In coronary sinus ostial atresia, coronary venous drainage to the atria occurs via Thebesian or septal veins.• Coronary sinus diverticulum is a congenital outpouching of the coronary sinus and may predispose to cardiac arrhythmias.

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eComment: Cardioplegia in coronary artery fistula to coronary sinus

Cited by 2 publications

References 3 publications

Standardization of operations for coronary to pulmonary artery fistulas

Standardization of operations for coronary to pulmonary artery fistulas

Computed Tomography and Magnetic Resonance Imaging of the Coronary Sinus: Anatomic Variants and Congenital Anomalies

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