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Ann Thorac Surg 1996;62:889-891
© 1996 The Society of Thoracic Surgeons

Case Report

Closure of Ruptured Coronary Sinus by a Pericardial Patch

Seyedhossein Aharinejad, MD, PhD, Helmut Baumgartner, MD, Aurelia Miksovsky, MD, Werner Mohl, MD, PhD

Departments of Anatomy, Thoracic and Cardiac Surgery, and Cardiology, University of Vienna, Vienna, Austria

Accepted for publication April 8, 1996.

We report on a case of coronary sinus rupture that happened during placement of a cardioplegia balloon catheter and its subsequent repair. First, the defect was oversewn, however, not successfully. Under cardiopulmonary bypass and cardioplegic arrest, a pericardial patch was used to reconstruct the coronary sinus. Six months after the operation, blood drained during diastole into the right atrium but the flow was partially reversed during systole.




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