Late Iatrogenic Coronary Sinus Hematoma During Cardiac Surgery

Alessandro Fiocco; Martina Dini; Antonio Campanella; Giosué Falcetta; Clemente Pascarella; Filippo Cademartiri; Andrea Colli

doi:10.1016/j.jaccas.2022.03.033

Late Iatrogenic Coronary Sinus Hematoma During Cardiac Surgery

JACC Case Rep. 2022 Jun 1;4(11):649-654. doi: 10.1016/j.jaccas.2022.03.033.

Authors

Alessandro Fiocco¹, Martina Dini¹, Antonio Campanella¹, Giosué Falcetta¹, Clemente Pascarella¹, Filippo Cademartiri², Andrea Colli¹

Affiliations

¹ Cardiac Surgery Unit, Department of Surgical, Medical and Molecular Pathology and Critical Care Medicine, University of Pisa, Pisa, Italy.
² Department of Radiology, Fondazione Toscana Gabriele Monasterio/CNR, Pisa, Italy.

Abstract

Retrograde cardioplegia is commonly used in cardiac surgery to induce cardioplegic arrest. However, this method could be potentially associated with coronary sinus injuries, which can be fatal or extremely difficult to manage. This report describes the conservative management of an iatrogenic coronary sinus hematoma by daily transthoracic echocardiography and weekly computed tomography follow-up. (Level of Difficulty: Intermediate.).

Keywords: CS, coronary sinus; CSH, coronary sinus hematoma; CT, computed tomography; EWD, endocardial wall dissection; FU, follow-up; IAWH, intramural atrial wall hemorrhage; TEE, transesophageal echocardiography; TTE, transthoracic echocardiography; cardiac surgery; cardio computed tomography; coronary sinus hematoma; retrograde cardioplegia.

Publication types

Case Reports