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Ann Thorac Surg 2003;76:1317-1318
© 2003 The Society of Thoracic Surgeons

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Warning hint of a hidden early left main stem bifurcation during antegrade cardioplegia

Armin W. Erasmi, MDa, Martin Misfeld, MDa, Hans-H. Sievers, MDa*

a Clinic of Cardiac Surgery, University Clinic of Luebeck, Luebeck, Germany

Accepted for publication February 21, 2003.

* Address reprint requests to Dr Sievers, Clinic of Cardiac Surgery, University Clinic of Luebeck, Ratzeburger Allee 160, 23538 Luebeck, Germany
e-mail: herzchir{at}medinf.mu-luebeck.de

The short left main trunk with early bifurcation is a common variation of the left coronary anatomy and is easily overlooked during antegrade selective cardioplegia resulting in the risk of single branch perfusion. We describe an obvious characteristic sign to detect this pitfall during blood cardioplegia.






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