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Ann Thorac Surg 1998;66:2085-2087
© 1998 The Society of Thoracic Surgeons

Case Reports

Percutaneous coronary sinus cannulation guided by transesophageal echocardiography

Igor M. Plotkin, MDa, Charles D. Collard, MDa, Sary F. Aranki, MDb, Robert J. Rizzo, MDb, Stanton K. Shernan, MDa

a Department of Anesthesia, Brigham and Women’s Hospital, Harvard Medical School, Boston, Massachusetts, USA
b Department of Surgery, Brigham and Women’s Hospital, Harvard Medical School, Boston, Massachusetts, USA

Accepted for publication May 19, 1998.

Address reprint requests to Dr Plotkin, Department of Anesthesia, Brigham and Women’s Hospital, 75 Francis St, Boston, MA 02115
e-mail: (plotkin{at}zeus.bwh.harvard.edu)

We investigated whether percutaneous cannulation of the coronary sinus could be accomplished without fluoroscopy using transesophageal echocardiography in patients undergoing minimally invasive cardiac operations. The coronary sinus was cannulated without significant complications using transesophageal echocardiography in 10 of 11 patients (mean, 10.5 minutes). Percutaneous cannulation of the coronary sinus can be accomplished in a safe and efficient manner using transesophageal echocardiography without the need for fluoroscopy.




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