Title |
Cardiac tamponade and para-aortic hematoma post elective surgical myocardial revascularization on a beating heart – a possible complication of the Lima-stitch and sequential venous anastomosis
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Published in |
BMC Cardiovascular Disorders, June 2014
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DOI | 10.1186/1471-2261-14-72 |
Pubmed ID | |
Authors |
Anna Marcinkiewicz, Ryszard Jaszewski, Katarzyna Piestrzeniewicz, Radosław Zwoliński |
Abstract |
Off-pump coronary artery bypass (OPCAB) surgery can be associated with some intrinsic, but relatively rare complications. A pericardial effusion is a common finding after cardiac surgeries, but the prevalence of a cardiac tamponade does not exceed 2% and is less frequent after myocardial revascularization.Authors believe that in our patient an injury of a nutritional pericardial or descending aorta vessel caused by the Lima stitch resulted in oozing bleeding, which gradually leaded to cardiac tamponade. The bleeding increased after introduction of double antiplatelet therapy and caused life-threatening hemodynamic destabilization. According to our knowledge it is the first report of such a complication after OPCAB. |
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Demographic breakdown
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Mendeley readers
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Student > Master | 6 | 15% |
Researcher | 6 | 15% |
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