Document Detail

Left internal mammary artery graft perforation due to high-pressure stent deployment.
MedLine Citation:
PMID:  10376505     Owner:  NLM     Status:  MEDLINE    
Perforation of newly placed left internal mammary artery (LIMA) grafts due to stent deployment is an infrequent but potentially dangerous complication of coronary interventions. It may lead to brisk hemorrhage and massive cardiac tamponade requiring emergent pericardiocentesis and surgery. We report a case of a LIMA graft perforation following stent deployment with a high-pressure balloon 12 days after surgery. The patient was treated with emergent pericardiocentesis, rapid autotransfusion of the pericardial aspirate into the systemic circulation, and surgical repair of the ruptured vessel.
M Sharifi; M W Turrentine; Y Mahomed; V J Pompili; J C Dillon
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Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  Catheterization and cardiovascular interventions : official journal of the Society for Cardiac Angiography & Interventions     Volume:  47     ISSN:  1522-1946     ISO Abbreviation:  Catheter Cardiovasc Interv     Publication Date:  1999 Jun 
Date Detail:
Created Date:  1999-07-29     Completed Date:  1999-07-29     Revised Date:  2004-11-17    
Medline Journal Info:
Nlm Unique ID:  100884139     Medline TA:  Catheter Cardiovasc Interv     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  199-202     Citation Subset:  IM    
Department of Medicine, The Krannert Institute of Cardiology, Indiana University School of Medicine, Indianapolis 46202, USA.
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MeSH Terms
Blood Transfusion, Autologous
Cardiac Tamponade / etiology,  surgery
Internal Mammary-Coronary Artery Anastomosis*
Mammary Arteries / injuries,  surgery
Saphenous Vein / transplantation
Stents / adverse effects*
Transplantation, Autologous

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