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Sutureless hemostasis of a coronary sinus rupture with Hydrofit.

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.

SUBMITTER: Nakahara Y

PROVIDER: S-EPMC7525420 | biostudies-literature | 2020 Sep

REPOSITORIES: biostudies-literature

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Sutureless hemostasis of a coronary sinus rupture with Hydrofit.

Nakahara Yoshinori Y Kanemura Takeyuki T

Indian journal of thoracic and cardiovascular surgery 20200611 5

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 com ...[more]

PMID: 33061164

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