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Ann Thorac Surg 1988;46:475-482
© 1988 The Society of Thoracic Surgeons

Articles

Coronary Sinus Interventions during Cardiac Surgery

Harold L. Lazar, M.D.*

Department of Cardiothoracic Surgery, Boston University Medical Center, Boston, MA

* Address reprint requests to Dr. Lazar, Department of Cardiothoracic Surgery, University Hospital, 88 E Newton St, Boston, MA 02118

There is renewed interest in protecting jeopardized myocardium during regional and global ischemia by coronary sinus retroperfusion. Advances in catheter design and imaging techniques have made access to the coronary sinus easier and safer.

Retrograde coronary sinus perfusion, aortovenous bypass, pressure-controlled intermittent coronary sinus occlusion, and synchronized retrograde perfusion have emerged as new techniques by which blood can be redirected through the coronary sinus to nourish ischemic myocardium beyond a coronary occlusion.

The purpose of this review is to summarize the current results and applications of these coronary sinus interventions, and show how they can benefit the cardiac surgeon in clinical practice.




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