Document Detail

An unusual mid term complication of coronary rupture.
MedLine Citation:
PMID:  16014314     Owner:  NLM     Status:  MEDLINE    
A 55-year-old man was admitted with a four-month history of lethargy, dyspnea and ascites. An idiopathic liver cirrhosis was suspected to be responsible for these symptoms and for elevated hepatic enzymes on blood tests. A few months before he had an angioplasty on the left anterior descending artery for an acute coronary syndrome (ACS). The intervention was complicated by coronary perforation which required the implantation of a polytetrafluoroethylene-covered (PTFE) stent to seal the rupture. On admission, pressure measurements during cardiac catheterism revealed a typical right ventricular dip-plateau consistent with the diagnosis of constrictive pericarditis (CP). Magnetic resonance imaging (RMI) showed localized pericardial thickening next to the right ventricle. We suspect hemopericardium, due to coronary perforation, is responsible for constrictive pericarditis. This mid-term complication of coronary rupture has not been reported before and should be suspected in this particular clinical setting.
L Bonello; P Paule; J Quilici; M Lambert; L Fourcade; J-L Bonnet
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Publication Detail:
Type:  Case Reports; Letter    
Journal Detail:
Title:  International journal of cardiology     Volume:  104     ISSN:  0167-5273     ISO Abbreviation:  Int. J. Cardiol.     Publication Date:  2005 Sep 
Date Detail:
Created Date:  2005-09-02     Completed Date:  2006-08-08     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  8200291     Medline TA:  Int J Cardiol     Country:  Ireland    
Other Details:
Languages:  eng     Pagination:  119-21     Citation Subset:  IM    
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MeSH Terms
Acute Disease
Aneurysm, Ruptured / diagnosis,  etiology*,  therapy*
Angioplasty, Transluminal, Percutaneous Coronary
Blood Vessel Prosthesis Implantation
Coated Materials, Biocompatible / therapeutic use
Coronary Aneurysm / diagnosis,  etiology*,  therapy*
Coronary Disease / diagnosis,  therapy
Diagnosis, Differential
Intraoperative Complications / diagnosis,  etiology,  therapy
Liver Cirrhosis / diagnosis,  etiology
Magnetic Resonance Imaging
Middle Aged
Pericarditis, Constrictive / diagnosis,  etiology
Polytetrafluoroethylene / therapeutic use
Reg. No./Substance:
0/Coated Materials, Biocompatible; 9002-84-0/Polytetrafluoroethylene

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

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