Document Detail

Endovascular repair of accidental ligation of the right coronary artery during cardiorrhaphy for penetrating heart wound.
MedLine Citation:
PMID:  14580297     Owner:  NLM     Status:  MEDLINE    
We report a patient with a cardiac penetrating wound who underwent cardiorrhaphy which resulted in accidental ligation of the proximal right coronary artery (RCA), producing a postoperative acute inferior wall myocardial infarction. Although the option of surgical relief of the suture over the RCA was discussed, a repeat operation was considered to be of very high risk. Therefore, an endovascular attempt to recanalize the vessel was chosen. The external constriction around the RCA was successfully relieved with percutaneous transluminal coronary angioplasty (PTCA) and stenting. To our knowledge, this particular situation has not yet previously been published.
Francisco Tortoledo; Leonardo Izaguirre; Máximo H Trujillo; Maria Alejandra Tortoledo
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Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  Cardiology in review     Volume:  11     ISSN:  1061-5377     ISO Abbreviation:  Cardiol Rev     Publication Date:    2003 Nov-Dec
Date Detail:
Created Date:  2003-10-28     Completed Date:  2004-03-08     Revised Date:  2004-11-17    
Medline Journal Info:
Nlm Unique ID:  9304686     Medline TA:  Cardiol Rev     Country:  United States    
Other Details:
Languages:  eng     Pagination:  303-5     Citation Subset:  IM    
Instituto Médico La Floresta, Caracas, Venezuela.
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MeSH Terms
Angioplasty, Transluminal, Percutaneous Coronary*
Cardiac Surgical Procedures / adverse effects*
Coronary Vessels / injuries*
Heart Injuries / therapy*
Heart Ventricles / injuries*
Intraoperative Complications / therapy*
Lacerations / therapy*
Suture Techniques
Wounds, Stab / therapy*

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine

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