Which of the following is not a complication seen from the use of coronary perfusion for myocardial protection?

When evaluating the complications associated with coronary perfusion for myocardial protection, it's essential to consider what these procedures typically entail and their potential risks.

Subendocardial hemorrhagic necrosis, coronary artery laceration, and dislodgement of arteriosclerotic material are all directly linked to the mechanical manipulation and physiological challenges posed during coronary perfusion. Subendocardial hemorrhagic necrosis can occur due to inadequate blood supply to the heart muscle, particularly in areas that are vulnerable during perfusion. Coronary artery laceration may happen because of the instrumentation used or due to the pressure applied during the procedure. Dislodgement of arteriosclerotic material is a risk that arises when plaque is disturbed, potentially leading to embolic events.

In contrast, pulmonary edema does not typically arise from the process of coronary perfusion itself. Rather, it is more associated with fluid overload, heart failure, or other conditions affecting pulmonary circulation. While fluid management is crucial in the context of cardiac surgeries and can lead to pulmonary complications, pulmonary edema is not a direct complication related specifically to coronary perfusion procedures designed for myocardial protection.

Thus, pulmonary edema stands out as it is not a complication that is commonly attributed to coronary perfusion, making it the