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Fig. 2 | Journal of Cardiothoracic Surgery

Fig. 2

From: Incidentally discovered cold hemagglutinin disease with massive blood clots in the cardioplegia line and coronary artery, during coronary artery bypass graft

Fig. 2

Illustration of cardioplegia infusion technique. a. Aorta-cross clamping (ACC) and antegrade cold cardioplegia infusion. Blood clots in the cardioplegia line and coronary artery; b. Cardioplegia line change and retrograde warm cardioplegia infusion; c. Coronary artery opening, and elimination of blood clots; d. Washing out of the coronary artery with simultaneous antegrade and retrograde crystalloid cardioplegia infusion, with the coronary artery open; e. Intermittent warm blood cardioplegia infusion in an antegrade and retrograde manner during the main procedure; f. Warm blood cardioplegia infusion directly into the saphenous venous graft; g. Flushing out the warm crystalloid cardioplegia simultaneously via antegrade and directly from saphenous venous graft to the aorta opening, h. Proximal saphenous venous graft to aorta anastomosis. AAo: ascending aorta, Cap: capillary, CoA: coronary artery, CoV: coronary vain, RA: right atrium. Red color: blood cardioplegia, Blue color: crystalloid cardioplegia, Purple color: blood clot, Red dot: microemboli

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