Document Detail

Fatal occlusion of the left coronary main stem by a fragment from the femoral artery: a previously unreported complication of cardiac catheterization.
MedLine Citation:
PMID:  9251229     Owner:  NLM     Status:  MEDLINE    
A 59-year-old man with grade III angina pectoris and 80% stenosis of the left anterior descending coronary artery developed an acute total occlusion of the artery during percutaneous transluminal coronary angioplasty (PTCA). Attempts at recanalisation and resuscitation were ineffective, and the patient died. The medico-legal autopsy revealed obstruction of left main coronary artery by a ringshaped piece of arterial wall that had been torn out of the femoral artery at the punction site and driven around the tip of the catheter into the orifice of the left coronary artery, filling it. This kind of complication of PTCA has not been described previously.
M Veijola; M Ikäheimo; J Valkama; J Hirvonen
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Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  Forensic science international     Volume:  88     ISSN:  0379-0738     ISO Abbreviation:  Forensic Sci. Int.     Publication Date:  1997 Aug 
Date Detail:
Created Date:  1997-09-15     Completed Date:  1997-09-15     Revised Date:  2004-11-17    
Medline Journal Info:
Nlm Unique ID:  7902034     Medline TA:  Forensic Sci Int     Country:  IRELAND    
Other Details:
Languages:  eng     Pagination:  111-6     Citation Subset:  IM    
Department of Forensic Medicine, University of Oulu, Finland.
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MeSH Terms
Angina Pectoris / therapy
Angioplasty, Transluminal, Percutaneous Coronary
Arterial Occlusive Diseases / etiology*,  pathology
Carotid Artery Diseases / etiology*,  pathology
Coronary Disease / therapy
Fatal Outcome
Femoral Artery / pathology*
Heart Catheterization / adverse effects*
Middle Aged

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

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