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Giant Intramural Right Ventricular Hematoma after PCI in a Patient with Condition after CABG.

作者信息

Vondran Maximilian, Ghazy Tamer, Andrási Terezia Bogdana, Graff Jürgen, Rastan Ardawan Julian

机构信息

Department of Cardiac and Thoracic Vascular Surgery, University Hospital of Giessen and Marburg Campus Marburg, Marburg, Germany.

Department of Cardiac Surgery, Herz-Kreislauf-Zentrum, Rotenburg an der Fulda, Germany.

出版信息

Thorac Cardiovasc Surg Rep. 2020 Jan;9(1):e11-e14. doi: 10.1055/s-0040-1703006. Epub 2020 Mar 21.

DOI:10.1055/s-0040-1703006
PMID:32206544
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC7085420/
Abstract

Coronary artery perforation secondary to percutaneous coronary intervention (PCI) is a rare, but a potentially life-threatening complication. There is a misconception that cardiac tamponade rarely occurs in patients with prior coronary artery bypass grafting (CABG). We first describe a giant right ventricular intramural hematoma following PCI via a saphenous vein graft to treat a distal stenosis of the right coronary artery, and its successful treatment with redo cardiac surgery. Complex elective PCIs on patients after CABG should be performed in specialized centers with a well-established heart team that has the expertise to treat any of the potential complications.

摘要
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d6fa/7085420/5cf26abab44d/10-1055-s-0040-1703006-i190341crc-4.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d6fa/7085420/42a60e72b48d/10-1055-s-0040-1703006-i190341crc-1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d6fa/7085420/5084fb11a626/10-1055-s-0040-1703006-i190341crc-2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d6fa/7085420/f6cc0d00d7dc/10-1055-s-0040-1703006-i190341crc-3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d6fa/7085420/5cf26abab44d/10-1055-s-0040-1703006-i190341crc-4.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d6fa/7085420/42a60e72b48d/10-1055-s-0040-1703006-i190341crc-1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d6fa/7085420/5084fb11a626/10-1055-s-0040-1703006-i190341crc-2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d6fa/7085420/f6cc0d00d7dc/10-1055-s-0040-1703006-i190341crc-3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d6fa/7085420/5cf26abab44d/10-1055-s-0040-1703006-i190341crc-4.jpg

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本文引用的文献

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Clinical Characteristics and Management of Coronary Artery Perforations: A Single-Center 11-Year Experience and Practical Overview.冠状动脉穿孔的临床特征和处理：单中心 11 年经验及实用综述。
J Am Heart Assoc. 2017 Sep 22;6(9):e007049. doi: 10.1161/JAHA.117.007049.
2
Distal coronary perforation in patients with prior coronary artery bypass graft surgery: The importance of early treatment.曾接受冠状动脉旁路移植术患者的冠状动脉远端穿孔：早期治疗的重要性。
Cardiovasc Revasc Med. 2016 Sep;17(6):412-7. doi: 10.1016/j.carrev.2016.05.014. Epub 2016 Jun 17.
3
Left atrial intramural hematoma after percutaneous coronary intervention.
经皮冠状动脉介入治疗后左心房壁内血肿
Catheter Cardiovasc Interv. 2015 Sep;86(3):E150-2. doi: 10.1002/ccd.25757. Epub 2015 Jul 8.
4
Management of a left atrial intramural hematoma after percutaneous intervention.经皮介入治疗后左心房壁内血肿的处理。
Ann Thorac Surg. 2014 Jun;97(6):2196-7. doi: 10.1016/j.athoracsur.2013.08.025.
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Images in cardiovascular medicine. Conservative treatment of a left atrial hematoma and a localized tamponade occurring during treatment of coronary total occlusion.
Circulation. 2007 Jun 5;115(22):e603-6. doi: 10.1161/CIRCULATIONAHA.106.628719.
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Delayed abrupt tamponade by isolated left atrial compression following coronary artery perforation during coronary angioplasty.冠状动脉血管成形术期间冠状动脉穿孔后孤立性左心房受压导致的延迟性心脏压塞。
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