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Gabriel S. Aldea
James D. Fonger
Richard J. Shemin
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Ann Thorac Surg 1992;54:789-790
© 1992 The Society of Thoracic Surgeons

Articles

Directed atraumatic coronary sinus cannulation for retrograde cardioplegia administration

Gabriel S. Aldea, MD*, Gilbert Connelly, MD, James D. Fonger, MD, Dusan Dobnick, MD, Richard J. Shemin, MD

Departments of Cardiothoracic Surgery and Cardiac Anesthesia, Boston University Medical Center, Boston, Massachusetts, USA

Received for publication June 5, 1992. * Address reprint requests to Dr Aldea, Department of Cardiothoracic Surgery, Boston University Medical Center, 88 East Newton, Boston, MA 02118-2398.

A simple method of coronary sinus cannulation for retrograde cardioplegia administration is described that reduces cardiac manipulation. Intraoperative transesophageal echocardiography is used to direct atraumatic coronary sinus cannulation, confirm the depth of insertion of the cannula tip in relation to the ostium, and reduce overall cannulation time.




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