Download PDF
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
› Author Affiliations
Further Information

Publication History

17 July 2019

30 December 2019

Publication Date:
21 March 2020 (online)

Also available at
   Permissions and Reprints

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
 

  • References

  • 1 Barbeau GR, Sénéchal M, Voisine P. Delayed abrupt tamponade by isolated left atrial compression following coronary artery perforation during coronary angioplasty. Catheter Cardiovasc Interv 2005; 66 (04) 562-565
    CrossrefPubMedSearch in Google Scholar
  • 2 Lemmert ME, van Bommel RJ, Diletti R. , et al. Clinical characteristics and management of coronary artery perforations: a single-center 11-year experience and practical overview. J Am Heart Assoc 2017; 6 (09) 9
    PubMedSearch in Google Scholar
  • 3 Karatasakis A, Akhtar YN, Brilakis ES. Distal coronary perforation in patients with prior coronary artery bypass graft surgery: the importance of early treatment. Cardiovasc Revasc Med 2016; 17 (06) 412-417
    CrossrefPubMedSearch in Google Scholar
  • 4 Franks RJ, de Souza A, Di Mario C. Left atrial intramural hematoma after percutaneous coronary intervention. Catheter Cardiovasc Interv 2015; 86 (03) E150-E152
    CrossrefPubMedSearch in Google Scholar
  • 5 Jothidasan A, Attaran S, Hunter D, de Souza AC. Management of a left atrial intramural hematoma after percutaneous intervention. Ann Thorac Surg 2014; 97 (06) 2196-2197
    CrossrefPubMedSearch in Google Scholar
  • 6 Tavano D, Carlino M, Pisani M, Colombo A. Images in cardiovascular medicine. Conservative treatment of a left atrial hematoma and a localized tamponade occurring during treatment of coronary total occlusion. Circulation 2007; 115 (22) e603-e606
    PubMedSearch in Google Scholar