Stent Implantation May Fail Sometimes in Coronary Complications: Extension of an Iatrogenic Left Main Coronary Artery Hematoma
Coronary artery perforations and dissections, associated with cardiac tamponade or acute vessel closure, are life-threatening complications of percutaneous coronary intervention. In some cases, subepicardial hematomas could occur and compress the vessel. A 59-year-old woman was admitted to our hosp...
| Main Authors: | , , , , |
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| Format: | Article |
| Language: | English |
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Tehran University of Medical Sciences
2022-10-01
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| Series: | Journal of Tehran University Heart Center |
| Subjects: | |
| Online Access: | https://jthc.tums.ac.ir/index.php/jthc/article/view/1657 |
| _version_ | 1828054753164132352 |
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| author | Burak Acar Ahmet Arikan Zeki Talas Umut Celikyurt Muhip Kanko |
| author_facet | Burak Acar Ahmet Arikan Zeki Talas Umut Celikyurt Muhip Kanko |
| author_sort | Burak Acar |
| collection | DOAJ |
| description |
Coronary artery perforations and dissections, associated with cardiac tamponade or acute vessel closure, are life-threatening complications of percutaneous coronary intervention. In some cases, subepicardial hematomas could occur and compress the vessel. A 59-year-old woman was admitted to our hospital with chest pain and was diagnosed with non–ST-elevation myocardial infarction. Coronary angiography showed the total occlusion of the diagonal artery. During the intervention, left main coronary artery dissection and intramural hematoma occurred as coronary complications. The left main coronary artery was stented; however, the extension of the hematoma through the ostium of the left anterior descending artery caused further complications. The patient underwent an urgent coronary artery bypass graft surgery and was discharged on the seventh postoperative day.
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| first_indexed | 2024-04-10T20:28:14Z |
| format | Article |
| id | doaj.art-183c3a60f1e540b39086b046cf1372a1 |
| institution | Directory Open Access Journal |
| issn | 1735-8620 2008-2371 |
| language | English |
| last_indexed | 2024-04-10T20:28:14Z |
| publishDate | 2022-10-01 |
| publisher | Tehran University of Medical Sciences |
| record_format | Article |
| series | Journal of Tehran University Heart Center |
| spelling | doaj.art-183c3a60f1e540b39086b046cf1372a12023-01-25T07:58:06ZengTehran University of Medical SciencesJournal of Tehran University Heart Center1735-86202008-23712022-10-0117410.18502/jthc.v17i4.11615Stent Implantation May Fail Sometimes in Coronary Complications: Extension of an Iatrogenic Left Main Coronary Artery HematomaBurak Acar0Ahmet Arikan1Zeki Talas2Umut Celikyurt3Muhip Kanko4Department of Cardiology, Faculty of Medicine, Kocaeli University2Kocaeli University Medical Faculty, Department of Cardiovascular Surgery, Kocaeli, TurkeyKocaeli University Medical Faculty, Department of Cardiovascular Surgery, Kocaeli, TurkeyKocaeli University Medical Faculty, Department of Cardiology, Kocaeli, TurkeyKocaeli University Medical Faculty, Department of Cardiovascular Surgery, Kocaeli, Turkey Coronary artery perforations and dissections, associated with cardiac tamponade or acute vessel closure, are life-threatening complications of percutaneous coronary intervention. In some cases, subepicardial hematomas could occur and compress the vessel. A 59-year-old woman was admitted to our hospital with chest pain and was diagnosed with non–ST-elevation myocardial infarction. Coronary angiography showed the total occlusion of the diagonal artery. During the intervention, left main coronary artery dissection and intramural hematoma occurred as coronary complications. The left main coronary artery was stented; however, the extension of the hematoma through the ostium of the left anterior descending artery caused further complications. The patient underwent an urgent coronary artery bypass graft surgery and was discharged on the seventh postoperative day. https://jthc.tums.ac.ir/index.php/jthc/article/view/1657PercutaneousCoronaryDissectionComplicationIntramural hematomaMyocardial infarction |
| spellingShingle | Burak Acar Ahmet Arikan Zeki Talas Umut Celikyurt Muhip Kanko Stent Implantation May Fail Sometimes in Coronary Complications: Extension of an Iatrogenic Left Main Coronary Artery Hematoma Journal of Tehran University Heart Center Percutaneous Coronary Dissection Complication Intramural hematoma Myocardial infarction |
| title | Stent Implantation May Fail Sometimes in Coronary Complications: Extension of an Iatrogenic Left Main Coronary Artery Hematoma |
| title_full | Stent Implantation May Fail Sometimes in Coronary Complications: Extension of an Iatrogenic Left Main Coronary Artery Hematoma |
| title_fullStr | Stent Implantation May Fail Sometimes in Coronary Complications: Extension of an Iatrogenic Left Main Coronary Artery Hematoma |
| title_full_unstemmed | Stent Implantation May Fail Sometimes in Coronary Complications: Extension of an Iatrogenic Left Main Coronary Artery Hematoma |
| title_short | Stent Implantation May Fail Sometimes in Coronary Complications: Extension of an Iatrogenic Left Main Coronary Artery Hematoma |
| title_sort | stent implantation may fail sometimes in coronary complications extension of an iatrogenic left main coronary artery hematoma |
| topic | Percutaneous Coronary Dissection Complication Intramural hematoma Myocardial infarction |
| url | https://jthc.tums.ac.ir/index.php/jthc/article/view/1657 |
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