Cannulation of the Middle Cardiac Vein during MICS
Enrique J. Pantin, Jonathan Kraidin, Steven Ginsberg, John T. Denny, Alann Solina
Abstract
Enrique J. Pantin, Jonathan Kraidin, Steven Ginsberg, John T. Denny, Alann Solina
Abstract
Coronary sinus cannulation for retrograde cardioplegia administration during cardiac surgery is common practice. Several of the cannulas that are placed by the cardiac surgeon on open procedures are now placed by the cardiac anesthesiologist during minimally invasive cardiac surgery, including the coronary sinus catheter. The understanding of the cardiac venous anatomy is very important during coronary sinus catheter placement. We present a case where a percutaneously placed coronary sinus catheter was inadvertently placed into the middle cardiac vein but detected with the use of fluoroscopy.
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Coronary sinus cannulation for retrograde cardioplegia administration during cardiac surgery is common practice. Several of the cannulas that are placed by the cardiac surgeon on open procedures are now placed by the cardiac anesthesiologist during minimally invasive cardiac surgery, including the coronary sinus catheter. The understanding of the cardiac venous anatomy is very important during coronary sinus catheter placement. We present a case where a percutaneously placed coronary sinus catheter was inadvertently placed into the middle cardiac vein but detected with the use of fluoroscopy.
Key concepts: Coronary sinus, Great cardiac vein, Medicine, Catheter, Cardiac surgery, Fluoroscopy, Coronary Vein, Vein