Compressive Intrapericardial Hematoma Following Thoracotomy to Seal Coronary Artery Perforation
| Title: | Compressive Intrapericardial Hematoma Following Thoracotomy to Seal Coronary Artery Perforation |
|---|---|
| Authors: | Madhu Shukla, Jagdish Chander Mohan |
| Source: | Journal of the Indian Academy of Echocardiography & Cardiovascular Imaging, Vol 8, Iss 1, Pp 55-58 (2024) |
| Publisher Information: | Wolters Kluwer Medknow Publications, 2024. |
| Publication Year: | 2024 |
| Collection: | LCC:Diseases of the circulatory (Cardiovascular) system |
| Subject Terms: | intrapericardial hematoma, percutaneous coronary intervention, thoracotomy, Diseases of the circulatory (Cardiovascular) system, RC666-701 |
| More Details: | A 68-year-old male developed cardiac tamponade secondary to coronary artery perforation following percutaneous coronary artery intervention. He underwent thoracotomy to seal the perforation of the acute marginal branch of the right coronary artery. Following sealing of perforation with application of cyanoacrylate to the right atrioventricular groove, the patient remained stable with minimal pericardial effusion for 1 month and later developed a large (6 cm × 5 cm) intrapericardial hematoma compressing the right ventricular inflow with intermittent fever. The patient declined repeat surgery and showed some regression of hematoma and a decrease in trans-tricuspid pressure gradients with colchicine after 1 month. The case is reported for its rarity with a review of literature. |
| Document Type: | article |
| File Description: | electronic resource |
| Language: | English |
| ISSN: | 2543-1463 2543-1471 |
| Relation: | https://journals.lww.com/10.4103/jiae.jiae_58_23; https://doaj.org/toc/2543-1463; https://doaj.org/toc/2543-1471 |
| DOI: | 10.4103/jiae.jiae_58_23 |
| Access URL: | https://doaj.org/article/139e758e7010428d863708eca4d639d7 |
| Accession Number: | edsdoj.139e758e7010428d863708eca4d639d7 |
| Database: | Directory of Open Access Journals |
| ISSN: | 25431463 25431471 |
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| DOI: | 10.4103/jiae.jiae_58_23 |
| Published in: | Journal of the Indian Academy of Echocardiography & Cardiovascular Imaging |
| Language: | English |