Cardiogenic Shock Caused by a Large Sub-Epicardial Hematoma Complicating Percutaneous Coronary Intervention - Case Reports in Clinical Medicine

CRCM > Vol.4 No.6, June 2015

Case Reports in Clinical Medicine

Volume 4, Issue 6 (June 2015)

ISSN Print: 2325-7075 ISSN Online: 2325-7083

Google-based Impact Factor: 0.2 Citations

Cardiogenic Shock Caused by a Large Sub-Epicardial Hematoma Complicating Percutaneous Coronary Intervention ()

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Download as PDF (Size: 1353KB) PP. 233-236

DOI: 10.4236/crcm.2015.46045 3,529 Downloads 4,332 Views Citations

Author(s)

Yoshiharu Higuchi^*, Daisuke Fukamachi, Nobuyuki Fujii, Toshihiko Nishida, Atsushi Hirayama

Affiliation(s)

Division of Cardiology, Department of Medicine, Nihon University School of Medicine, Tokyo, Japan.

ABSTRACT

A 56-year-old man with a history of old myocardial infarction and coronary artery bypass grafting was performed percutaneous coronary intervention to the totally occluded lesion of native left anterior descending artery. He developed a coronary arterial perforation that led to a large dissecting sub-epicardial hematoma. Emergent surgery was performed, and a large hematoma was removed from the sub-epicardial space. Continuous drainage of blood was observed after surgery, and the patient died due to the development of multiorgan dysfunction. An autopsy revealed an extensive sub-epicardial hematoma on the lateral wall of the left ventricle and broad necrosis of the myocardium in the lateral wall.

KEYWORDS

Sub-Epicardial Hematoma, Cardiac Tamponade, Percutaneous Coronary Intervention, Coronary Artery Bypass Grafting

Share and Cite:

Higuchi, Y. , Fukamachi, D. , Fujii, N. , Nishida, T. and Hirayama, A. (2015) Cardiogenic Shock Caused by a Large Sub-Epicardial Hematoma Complicating Percutaneous Coronary Intervention. Case Reports in Clinical Medicine, 4, 233-236. doi: 10.4236/crcm.2015.46045.

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[4]	Case Report Interventricular Septal Hematoma and Coronary-Ventricular Fistula: A Complication of Retrograde Chronic Total Occlusion Intervention
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[5]	Interventricular Septal Hematoma and Coronary-Ventricular Fistula; A Complication of Retrograde Chronic Total Occlusion Intervention
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