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Selective antegrade cardioplegic perfusion complicated by left main stem dissection

van Putte, B.P.; Vink, A.; De Bruin, P.C.; Defauw, J.J.A.

Journal of Cardiovascular Surgery 48(2): 247-248

2007

ISSN/ISBN: 0021-9509
PMID: 17410074
Document Number: 609886
Selective antegrade coronary artery perfusion is a commonly used procedure to obtain myocardial preservation during cardiac surgery. This report describes a patient operated for severe aortic valve stenosis and insufficiency, mitral valve and tricuspid insufficiency. Cardioplegia was administered by selective antegrade coronary artery blood perfusion. Antegrade blood cardioplegia was complicated by dissection of the left coronary main stem. The dissection induced a myocardial infaction and the patient finally died due to heart failure.

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