Percutaneous Coronary Sinus Catheter Placement Aided by 3 ... | 合法醫療器材資訊網

A 56-year-old woman with a history of paroxysmal atrial fibrillation, moderate mitral regurgitation, and symptoms of heart failure presented for robotic-assisted minimally invasive mitral valve repair. Intraoperative transesophageal echocardiography (TEE) confirmed moderate mitral regurgitation with a cleft between the P2 and P3 segments of the posterior mitral valve leaflet. The patients right internal jugular vein was cannulated with 2 introducers for placement of a percutaneous retrograde cardioplegia catheter (Edwards Lifesciences, Irvine, CA) and a pulmonary artery drain (Edwards Lifesciences). Consent was obtained from the patient for this report.

TEE was used to guide the coronary sinus catheter using standard techniques with the midesophageal bicaval view and the midesophageal 4-chamber view.1 However, during multiple attempts by the attending anesthesiologist, the coronary sinus catheter missed the coronary sinus orifice and was pla...