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Early Myocardial Resuscitation Via Coronary Sinus Retroperfusion

Mustafa Güden, MD, Belhhan Akpinar, MD, Osman Bayindir, MD^,1, Ertan Saba, MD, lhan Sanisolu, MD, Cem’i Demirolu, MD^,2

Department of Cardiovascular Surgery 1 Department of Anesthesiology 2 Department of Cardiology Kadir Has University Medical Faculty Florence Nightingale Hospital Istanbul, Turkey

For reprint information contact: Belhhan Akpinar, MD Tel : 90 212 224 4950 Fax: 90 212 224 4982 email: belh{at}turk.net Department of Cardiovascular Surgery, Florence Nightingale Hospital, Abide-I Hürriyet Caddesi, No. 290 ili, Istanbul 80220, Turkey.

Between January 1996 and December 1998, 9 patients needed emergency surgical revascularization after percutaneous transluminal coronary angioplasty failure. The mean age of these 6 men and 3 women was 64 ± 4.2 years. Under anesthesia and partial cardiopulmonary bypass, a cardioplegia needle was inserted into the ascending aorta and a retrograde cardioplegia cannula was introduced transatrially into the coronary sinus. Coronary sinus retroperfusion was performed during graft harvesting for revascularization. There was 1 death (11.1%) from multiorgan failure in a patient who had required cardiopulmonary resuscitation preoperatively. There was evidence of new myocardial infarction in 2 patients (22.2%) and the other 7 made a good recovery.

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