| Endovascular treatment of an intramural aortic haematoma following cardiopulmonary resuscitation for myocardial ischemia with ventricular fibrillation. | |
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MedLine Citation:
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PMID: 18241973 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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Cardiopulmonary resuscitation by manual cardiac compression can restore cardiocirculatory function but can also injure patients. Commonly reported are skeletal fractures of the rips and sternum, while injuries to the large thoracic vessels will frequently be lethal. We report the case of a 57-year-old male patient with sudden cardiac arrest because of myocardial ischemia with ventricular fibrillation, successful cardiopulmonary resuscitation, associated with an intramural haematoma (IMH) of the descending thoracic aorta treated by endovascular aortic repair. Secondary coronary angiography revealed a severe three vessel coronary disease with an occlusion of the proximal anterior descending branch and a subtotal stenosis of the first segmental branch of the left coronary artery (LCA) and a high-grade stenosis of the posterolateral segmental branch of the circumflex left coronary artery. Stenotic segments of coronary arteries were treated successfully by implantation of three drug-eluting stents followed by dual antiplatelet therapy. The patients recovered almost completely and was discharged for further rehabilitation after 3 weeks. |
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Authors:
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R Kopp; R Axt; A Klein; R Weidenhagen; R Schmucker; S Czerner; W H Hartl; K W Jauch; M Sigg |
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Publication Detail:
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Type: Case Reports; Journal Article Date: 2008-01-31 |
Journal Detail:
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Title: Resuscitation Volume: 77 ISSN: 1873-1570 ISO Abbreviation: Resuscitation Publication Date: 2008 Jun |
Date Detail:
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Created Date: 2008-05-19 Completed Date: 2009-08-11 Revised Date: 2009-08-25 |
Medline Journal Info:
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Nlm Unique ID: 0332173 Medline TA: Resuscitation Country: Ireland |
Other Details:
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Languages: eng Pagination: 410-4 Citation Subset: IM |
Affiliation:
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Department of Surgery, Klinikum Grosshadern, University of Munich, Marchioninistr. 15, 81377 Munich, Germany. reinhard.kopp@med.uni-muenchen.de |
Export Citation:
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| MeSH Terms | |
Descriptor/Qualifier:
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Aorta, Thoracic* Aortic Diseases / etiology, surgery* Cardiopulmonary Resuscitation / adverse effects* Heart Arrest / etiology, therapy* Hematoma / etiology, surgery* Humans Male Middle Aged Myocardial Ischemia / complications Stents* Ventricular Fibrillation / complications |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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