CASE REPORTS  CARDIAC PAPERS 

The Journal of Cardiovascular Surgery 1998 June;39(3):361-2

Copyright © 2000 EDIZIONI MINERVA MEDICA

language: English

Primary repair of coronary sinus injury caused by direct cutdown

Rodrigus I. E. R.

From the Department of Cardiac Surgery, University Hospital Antwerp, Edegem, Belgium

We report on a iatrogenic perioperative injury to the coronary sinus. Although oversewing venous bleeding sites on the heart usually resolves the problem, this caused an enormous venous engorgement of the posterior and apical regions of the heart, which promted us to direct primary suture of the coronary sinus incision. A brief literature review with possible suggestions for solving this problem is given.