Matsutera Ryo, Kume Kiyoshi, Yamato Masashi, Noda Yoshiki, Fujita Shigeki, Iwata Keiji, Yasuoka Yoshinori, Kaneko Mitsunori, Sasaki Tatsuya
Cardiovascular Division, Osaka Minami Medical Center, Osaka, Japan.
Pathological Division, Osaka Minami Medical Center, Osaka, Japan.
J Cardiol Cases. 2014 Jun 25;10(2):78-80. doi: 10.1016/j.jccase.2014.05.007. eCollection 2014 Aug.
In cases of iatrogenic coronary embolism during cardiac surgery or percutaneous coronary intervention, small air bubbles or foreign bodies are directly injected, which usually result in serious adverse events if not treated promptly. We herein describe the case of a patient who developed acute myocardial infarction resulting in shock due to BioGlue (CryoLife, Atlanta, GA, USA)-induced coronary embolism during the surgical repair of aortic dissection and was treated for retrieval of the material using a thrombectomy catheter. < Coronary embolism caused by surgical adhesives is a rare but potentially life-threatening complication. It is important for surgeons to promptly recognize and treat this serious condition in consultation with cardiologists.>.
在心脏手术或经皮冠状动脉介入治疗过程中发生医源性冠状动脉栓塞的情况下,小气泡或异物被直接注入,如果不及时治疗,通常会导致严重的不良事件。我们在此描述一例患者,该患者在主动脉夹层手术修复过程中因生物胶(美国佐治亚州亚特兰大市CryoLife公司生产)导致冠状动脉栓塞而发生急性心肌梗死并休克,随后使用血栓切除术导管进行了材料取出治疗。<手术粘合剂引起的冠状动脉栓塞是一种罕见但可能危及生命的并发症。外科医生与心脏病专家协商后及时识别并治疗这种严重情况非常重要。>