Selective antegrade cardioplegic perfusion complicated by left main stem dissection.

Autor: van Putte BP; Department of Cardiothoracic Surgery, St. Antonius Hospital, Nieuwegein, The Netherlands. bvanputte@yahoo.com, Vink A, De Bruin PC, Defauw JJ
Jazyk: angličtina
Zdroj: The Journal of cardiovascular surgery [J Cardiovasc Surg (Torino)] 2007 Apr; Vol. 48 (2), pp. 247-8.
Abstrakt: Selective antegrade coronary artery perfusion is a commonly used procedure to obtain myocardial preservation during cardiac surgery. This report describes a patient operated for severe aortic valve stenosis and insufficiency, mitral valve and tricuspid insufficiency. Cardioplegia was administered by selective antegrade coronary artery blood perfusion. Antegrade blood cardioplegia was complicated by dissection of the left coronary main stem. The dissection induced a myocardial infaction and the patient finally died due to heart failure.
Databáze: MEDLINE