| Autor: |
Ruggerini, Sara, Pavasini, Rita, Quagliara, Teresa A P, Fiorani, Vinicio |
| Předmět: |
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| Zdroj: |
European Heart Journal Case Reports; Feb2022, Vol. 6 Issue 2, p1-5, 5p |
| Abstrakt: |
Background Pseudoaneurysms (PSAs) of native coronary arteries are rare but potentially lethal complications occurring after coronary artery graft anastomosis mainly secondary to median sternotomy. Case summary A 61-year-old man underwent coronary artery bypass grafting because of stable angina. After the surgery, the patient was asymptomatic. A routine pre-discharge transthoracic echocardiogram was performed showing a haematoma of the apex partially involving the right ventricle with systolic colour Doppler flow going from the left ventricle to the pericardium. A coronary computed tomography scan was ordered and it revealed the presence of a PSA of the left anterior descending (LAD) artery distal to the graft anastomosis with the left internal mammary artery. An off-pump direct suture of the LAD injury through a redo sternotomy was successfully performed. Discussion The development of a PSA of a native coronary artery after bypass grafting is a very rare and potentially fatal condition. A correct and prompt diagnosis is crucial to avoid lethal complication. [ABSTRACT FROM AUTHOR] |
| Databáze: |
Complementary Index |
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