Cirugia y cirujanos · 2016
Subepicardial hematoma after percutaneous coronary intervention.
Клинический случайСтатьяНазвание и аннотация: Перевод пока не подготовлен
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Borracci Raúl Alberto, Ayala Natalia, Renes Paola, Allende Norberto Gustavo
Аннотация
BACKGROUND: Coronary artery perforation associated to cardiac tamponade is an uncommon life-threatening complication of percutaneous coronary intervention, and the occurrence of subepicardial or intramyocardial hematoma without hemopericardium is even rarer.
CLINICAL CASE: We describe the case of a 72 year-old woman with a subepicardial hematoma after percutaneous coronary intervention, who required urgent left internal mammary artery graft to anterior descending artery surgery.
CONCLUSIONS: Subepicardial or intramyocardial hematoma must be considered when a coronary perforation is suspected in absence of hemopericardium. Transthoracic echocardiogram or computed tomography may be used to decide a conservative or invasive approach.
CLINICAL CASE: We describe the case of a 72 year-old woman with a subepicardial hematoma after percutaneous coronary intervention, who required urgent left internal mammary artery graft to anterior descending artery surgery.
CONCLUSIONS: Subepicardial or intramyocardial hematoma must be considered when a coronary perforation is suspected in absence of hemopericardium. Transthoracic echocardiogram or computed tomography may be used to decide a conservative or invasive approach.
Предметные рубрики MeSH
AgedAngina, UnstableBlood Vessel Prosthesis ImplantationCardiomyopathiesCoronary AngiographyCoronary VesselsEmergenciesExtravasation of Diagnostic and Therapeutic MaterialsFemaleHematomaHumansInternal Mammary-Coronary Artery AnastomosisPercutaneous Coronary InterventionPericardiumPostoperative ComplicationsReoperationSaphenous VeinTomography, X-Ray Computed