Technique for Salvage Reconstruction of Shredded Left Main Coronary Artery After Rotablator Injury.
Autor: | Mouchli AY; HCA Houston Healthcare Clear Lake, Houston, Texas. Electronic address: anas.mouchli@hcahealthcare.com., Chaugle H; HCA Houston Healthcare Clear Lake, Houston, Texas., Byrne JG; HCA Houston Healthcare Clear Lake, Houston, Texas. |
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Jazyk: | angličtina |
Zdroj: | The Annals of thoracic surgery [Ann Thorac Surg] 2023 May; Vol. 115 (5), pp. e109-e111. Date of Electronic Publication: 2022 Apr 30. |
DOI: | 10.1016/j.athoracsur.2022.04.033 |
Abstrakt: | We report the technique needed to effectively repair a left main coronary artery shredding after rotational atherectomy and destruction of the left main coronary artery. The patient had been deemed inoperable at another center because of diffuse distal coronary disease. The complication led to cardiac tamponade and hemodynamic collapse, necessitating cardiopulmonary resuscitation and salvage surgery. This is perhaps the first case in the literature to show a successful repair of such a complex and significant left main, left anterior descending, and left circumflex coronary artery rupture in a patient in extremis. (Copyright © 2023 The Society of Thoracic Surgeons. Published by Elsevier Inc. All rights reserved.) |
Databáze: | MEDLINE |
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