Document Detail

Intramyocardial hematoma after coronary perforation during percutaneous coronary intervention--anticipated and treated.
MedLine Citation:
PMID:  18599909     Owner:  NLM     Status:  MEDLINE    
Coronary perforation is an uncommon complication of percutaneous coronary intervention and the subset of patients developing a subepicardial hematoma without hemopericardium is even rarer. Subepicardial (or intramyocardial) hematomas are often associated with catastrophic events. These hematomas are reported mainly in those with prior coronary artery bypass grafting (CABG). To date, only 2 cases have been reported in non-CABG patients. Ours is such a case where the perforation failed to resolve. Despite the absence of pericardial effusion or hemodynamic instability, we anticipated the possibility of a dissecting myocardial hematoma and proceeded with preemptive surgery. Perioperative findings confirmed the presence of a large intramyocardial hematoma, conservative treatment of which may well have led to potentially lethal consequences. We then review the scant literature on the subject.
Nasir Rahman; Hasanat Sharif; Fahim H Jafary
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Publication Detail:
Type:  Case Reports; Journal Article; Review    
Journal Detail:
Title:  The Journal of invasive cardiology     Volume:  20     ISSN:  1557-2501     ISO Abbreviation:  J Invasive Cardiol     Publication Date:  2008 Jul 
Date Detail:
Created Date:  2008-07-07     Completed Date:  2008-12-12     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  8917477     Medline TA:  J Invasive Cardiol     Country:  United States    
Other Details:
Languages:  eng     Pagination:  E224-8     Citation Subset:  IM    
Section of Cardiology, Aga Khan University Hospital, Stadium Road, Karachi, Pakistan 74800.
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MeSH Terms
Acute Coronary Syndrome / therapy
Angioplasty, Transluminal, Percutaneous Coronary / adverse effects*
Cardiomyopathies / etiology*,  surgery*
Coronary Vessels / injuries*
Hematoma / etiology*,  surgery*
Middle Aged

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

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