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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

Maximilian Vondran 
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
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Publikationsverlauf

17. Juli 2019

30. Dezember 2019

Publikationsdatum:
21. März 2020 (online)

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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.

Keywords

cardiac catheterization/intervention - coronary artery bypass grafting - CABG - myocardial injury - reoperation - surgery - complications - cardiology/cardiologist
 

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