BACKGROUND: Intraoperative coronary sinus rupture is a rare event; however, it carries potential mortality and its' management is technically challenging. A repair technique should provide adequate bleeding control while avoiding narrowing or stricture of the coronary sinus. METHODS: We retrospectively review our experience with a new pericardial patch repair technique. From January 1996 to May 2005 four cases of intraoperative @entity301 were identified. Three female @entity1 and one male @entity1 with a mean age of 74 +/- 4 years underwent valve replacement and/or coronary artery bypass on cardiopulmonary bypass. A double pericardial patch technique sandwiched with @entity1 fibrin glue was used to cover the defect. RESULTS: In all @entity1 treated with this method, the injury could be treated successfully. All @entity1 were extubated on the first postoperative day and median intensive care unit stay was 3 days. Drains could be removed after 4 days median. Median hospital stay was 13 days. After a median follow-up of 33 months all @entity1 are alive without any echocardiographic signs of @entity301 . CONCLUSIONS: We conclude that the pericardial patch technique is a safe and technically feasible technique for repair of central @entity301 . Excellent bleeding control and, in our experience, no consecutive complications were observed.

Management of central XXXX using the pericardial patch repair technique.

@entity1 :: ('9606', 'Species') :: ['human', 'patients', 'patient'] @entity301 :: ('MESH:D003327', 'Disease') :: ['coronary sinus injury', 'impairments of the coronary sinus', 'coronary sinus ruptures']
@entity301 :: (MESH:D003327,Disease) :: ['coronary sinus ruptures']
