Document Detail

Peri-operative rupture of the LIMA graft leading to cardiogenic shock, emergency angiography and stenting with a polytetrafluoroethylene-covered stent.
MedLine Citation:
PMID:  21542101     Owner:  NLM     Status:  Publisher    
A 58-year-old man underwent an elective coronary bypass graft for severe four-vessel stenosis. Cardiogenic shock developed just after coronary bypass grafting with a LIMA to LAD and SVG to OM1/OM2 graft; the PDA was too small to graft. Despite significant inotropes and an IABP, the patient deteriorated in ICU with cardiogenic shock and ventricular arrhythmia. Urgent coronary angiography revealed a rupture or torn LIMA graft with extravasation of contrast into the left pleural cavity. There was no distal LIMA to LAD flow probably due to graft thrombosis. Revascularisation was performed on the severe ostial native LAD stenosis with a drug eluting stent. The rupture graft was then stented with a polytetrafluoroethylene-covered stent, which stopped the bleeding, and latter, led to total graft thrombosis. The patient improved significantly and supportive inotropes could be weaned down. At 11 month follow up, the patient had mild left ventricular dysfunction, widely patent ostial LAD stent and thrombosed LIMA graft. © 2011 Wiley-Liss, Inc.
Wen-Loong Yeow; Mark Edwards; Gerald Yong
Publication Detail:
Type:  JOURNAL ARTICLE     Date:  2011-5-3
Journal Detail:
Title:  Catheterization and cardiovascular interventions : official journal of the Society for Cardiac Angiography & Interventions     Volume:  -     ISSN:  1522-726X     ISO Abbreviation:  -     Publication Date:  2011 May 
Date Detail:
Created Date:  2011-5-4     Completed Date:  -     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  100884139     Medline TA:  Catheter Cardiovasc Interv     Country:  -    
Other Details:
Languages:  ENG     Pagination:  -     Citation Subset:  -    
Copyright Information:
Copyright © 2011 Wiley-Liss, Inc.
Department of Cardiology, Royal Perth Hospital, Perth, Australia.
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