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Ann Thorac Surg 1998;66:573-575
© 1998 The Society of Thoracic Surgeons

Case Reports

Transesophageal echocardiographic evaluation of perioperative coronary sinus trauma

Nancy C. Poirier, MDa, Patricia Ugolini, MDa, Michel Pellerin, MDa, Robert Petitclerc, MDa, Jean-Claude Tardif, MDa

a Department of Surgery and Echography Laboratory, Montreal Heart Institute, Montreal, Quebec, Canada

Accepted for publication March 12, 1998.

Address reprint requests to Dr Pellerin, Montreal Heart Institute, 5000 Bélanger St E, Montreal, Quebec, Canada H1T 1C8

Retrograde cardioplegia is relatively safe, with a rate of coronary sinus rupture of 0.6%. With the advent of perioperative transesophageal echocardiography, it is now possible to detect and evaluate the extent of damage consequent to the use of retrograde cardioplegia and better formulate an intraoperative course of action. The evolution of these lesions can also be monitored by transesophageal echocardiography during the postoperative period.




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