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Ann Thorac Surg 1994;58:548-550
© 1994 The Society of Thoracic Surgeons

Articles

Management of difficult coronary sinus rupture

Steven J. Weiss, MD*

Albert Einstein Medical Center, Philadelphia, Pennsylvania USA

Accepted for publication November 13, 1993.

* Address reprints to Dr Weiss, Albert Einstein Medical Center, 5501 Old York Rd, HB-3, Philadelphia, PA 19141.

A technique of handling severe coronary sinus rupture when direct suture repair or pericardial patch techniques have failed is described. A pericardial patch is sewn over the coronary sinus with running 5-0 Prolene suture, and an 8-imn thin-walled Gore-Tex conduit then is constructed between the patch and the right atrium to decompress the repair and allow an alternative route for coronary sinus return to the right atrium.




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