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Ann Thorac Surg 1992;54:1214-1215
© 1992 The Society of Thoracic Surgeons

Articles

Retrograde coronary sinus cardioplegia in the presence of persistent left superior vena cava

David M. Shahian, MD*

Department of Thoracic and Cardiovascular Surgery, Lahey Clinic Medical Center, Burlington, Massachusetts, USA

Accepted for publication March 12, 1992.

* Address reprint requests to Dr Shahian, Department of Thoracic and Cardiovascular Surgery, Lahey Clinic Medical Center, 41 Mall Rd, Burlington, MA 01805.

Administration of retrograde cardioplegia is hampered by the presence of a persistent left superior vena cava, which results in excessive runoff of solution into the persistent left superior vena cava and the right atrium. Technical modifications are described that permitted aortic valve replacement to be performed in a patient with persistent left superior vena cava using only retrograde cardioplegia.




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