Published in:
01-09-2020 | Transesophageal Echocardiography | Case report
Sutureless hemostasis of a coronary sinus rupture with Hydrofit
Authors:
Yoshinori Nakahara, Takeyuki Kanemura
Published in:
Indian Journal of Thoracic and Cardiovascular Surgery
|
Issue 5/2020
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Abstract
Coronary sinus rupture (CSR) is a rare operative complication, and a standard procedure for its treatment has not been established. We report successful repair of a CSR in a 68-year-old man who underwent total arch replacement for type A acute aortic dissection. CSR was caused by the coronary sinus cannulation for retrograde cardioplegia and was detected during cardiopulmonary bypass weaning. We applied an elastomeric sealant with a bovine pericardium patch on the beating heart. After manual compression for 2 min, complete hemostasis was achieved. A clampless and sutureless hemostasis for repairing coronary sinus rupture is a simple, fast, and effective technique.