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Ann Thorac Surg 1986;41:101-102
© 1986 The Society of Thoracic Surgeons

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Articles

Retrograde Cardioplegia through the Right Atrium

From the Department of Cardiovascular Surgery, Höpital Broussais, Paris, France

Accepted for publication March 12, 1985.

^* Address reprint requests to Dr. Fabiani, Department of Cardiovascular Surgery, Höpital Broussais, 96 rue Didot, 75014 Paris, France

Retrograde cardioplegia through the coronary sinus has been shown to overcome the problems of cardioplegia delivery in aortic valve incompetence and coronary stenosis. Since specific complications, such as coronary sinus injury and lack of perfusion of the thebesian veins, may result from its use, we present a technique of cardioplegia delivery through the right atrium after caval and pulmonary artery exclusion that we believe is safer and more reliable than delivery through the coronary sinus.

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