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Marco Agrifoglio
Fabio Barili
Luca Dainese
Alessandro Parolari
Gianluca Polvani
Francesco Alamanni
Paolo Biglioli
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J Thorac Cardiovasc Surg 2007;134:522-523
© 2007 The American Association for Thoracic Surgery

Brief Communication

Sutureless patch-and-glue technique for the repair of coronary sinus injuries

Marco Agrifoglio, MD, PhDa, Fabio Barili, MDa,*, Samer Kassem, MDa, Luca Dainese, MDa, Alessandro Parolari, MD, PhDa, Gianluca Pontone, MDb, Gianluca Polvani, MDa, Francesco Alamanni, MDa, Paolo Biglioli, MDa

a Department of Cardiac Surgery, Centro Cardiologico Monzino, University of Milan, Milan, Italy
b Department of Cardiology and Radiology, Centro Cardiologico Monzino, University of Milan, Milan, Italy.

Received for publication February 8, 2007; revisions received March 15, 2007; accepted for publication April 19, 2007.

* Address for reprints: Fabio Barili, MD, Department of Cardiac Surgery, University of Milan, Centro Cardiologico Monzino IRCCS, Via Parea 4, 20138 Milan, Italy. (Email: fabarili@libero.it; fabio.barili@unimi.it).

The first 20% of the full text of this article appears below.

Coronary sinus (CS) injury is a rare complication of CS catheter insertion. Its management can represent a technical challenge, leading to potential mortality. Several different surgical techniques have been proposed to repair CS injury, including pericardial or saphenous vein patches,1-4Go because the primary suture of the CS often leads to stricture.

We report 7 cases in which CS injury was repaired with a sutureless patch-and-glue technique.

Clinical Summary

From January 1999 through November 2006, 7 cases of CS catheter-related injuries occurred (0.09% of cardiac operations with cardiopulmonary bypass in our experience). The patients were 1 man and 6 women (mean age, 69 ± 12 years) who underwent valve replacement, coronary artery bypass grafting, or both during cardiopulmonary bypass. One patient had a reoperation.

After arterial and venous cannulation, a CS catheter was placed for retrograde delivery of cardioplegia. The same CS cannula was used in all cases (14F x 27 cm; Edwards Lifescience, Irvine, Calif), with the same infusion protocol (150 mL/min, . . . [Full Text of this Article]






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