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Eur J Cardiothorac Surg 2002;22:143
© 2002 Elsevier Science NL

Images in cardio-thoracic surgery

Proximal coronary stenoses secondary to cannulation for cardioplegia

V. Zamvar*, A. Madhavan, E.N.P. Kulatilake

Department of Cardiothoracic Surgery, University Hospital of Wales, Cardiff CF14 4XW, UK

Received 14 January 2002; received in revised form 26 March 2002; accepted 28 March 2002.

* Corresponding author. Tel.: +44-29-2074-7747; fax: +44-29-2074-5439
e-mail: zamvarv{at}hotmail.com

Key Words: Ostial stenoses • Ostial cannulation • Cardioplegia

A 67-year-old man, with normal preoperative coronary angiography, underwent aortic valve replacement under intermittent cardioplegia using flexible, balloon-tipped cannula (Polystan, Walgerholm, Denmark). Two months later, he presented with angina, and coronary angiography demonstrated proximal stenoses of the left and right coronary arteries, thus illustrating the potential dangers of coronary artery cannulation for administering cardioplegia (Figs. 1 and 2) . Two years after coronary artery bypass graftings, the patient is aymptomatic.



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  		Fig. 1. Left coronary angiogram.

 


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  		Fig. 2. Right coronary angiogram.

 



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