Abstract
A 72-YEAR-OLD man with a history of mitral regurgitation presented for minimally invasive mitral valve surgery through a right thoracotomy approach. Two introducers were inserted into the right internal jugular vein for the placement of retrograde cardioplegia and pulmonary artery venting catheters (Endoplegia and Endovent, Edwards Lifesciences Inc, Irvine, CA). The retrograde catheter was guided percutaneously through the coronary sinus ostium using a modified bicaval transesophageal echocardiographic view and was advanced slowly while monitoring its position.
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