CC BY-NC-ND 4.0 · Thorac Cardiovasc Surg Rep 2020; 09(01): e11-e14
DOI: 10.1055/s-0040-1703006
Case Report: Cardiac
Georg Thieme Verlag KG Stuttgart · New York

Giant Intramural Right Ventricular Hematoma after PCI in a Patient with Condition after CABG

1  Department of Cardiac and Thoracic Vascular Surgery, University Hospital of Giessen and Marburg Campus Marburg, Marburg, Germany
2  Department of Cardiac Surgery, Herz-Kreislauf-Zentrum, Rotenburg an der Fulda, Germany
,
Tamer Ghazy
2  Department of Cardiac Surgery, Herz-Kreislauf-Zentrum, Rotenburg an der Fulda, Germany
,
Terezia Bogdana Andrási
1  Department of Cardiac and Thoracic Vascular Surgery, University Hospital of Giessen and Marburg Campus Marburg, Marburg, Germany
,
Jürgen Graff
2  Department of Cardiac Surgery, Herz-Kreislauf-Zentrum, Rotenburg an der Fulda, Germany
,
Ardawan Julian Rastan
1  Department of Cardiac and Thoracic Vascular Surgery, University Hospital of Giessen and Marburg Campus Marburg, Marburg, Germany
2  Department of Cardiac Surgery, Herz-Kreislauf-Zentrum, Rotenburg an der Fulda, Germany
› Author Affiliations
Further Information

Publication History

17 July 2019

30 December 2019

Publication Date:
21 March 2020 (online)

  

Abstract

Coronary artery perforation secondary to percutaneous coronary intervention (PCI) is a rare, but a potentially life-threatening complication. There is a misconception that cardiac tamponade rarely occurs in patients with prior coronary artery bypass grafting (CABG). We first describe a giant right ventricular intramural hematoma following PCI via a saphenous vein graft to treat a distal stenosis of the right coronary artery, and its successful treatment with redo cardiac surgery. Complex elective PCIs on patients after CABG should be performed in specialized centers with a well-established heart team that has the expertise to treat any of the potential complications.