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DOI: 10.1055/s-2007-1014130
Emergency Surgery after Coronary Artery Disruption Complicating PTCA. Report of Four Cases
Publication History
1985
Publication Date:
19 March 2008 (online)
![](https://www.thieme-connect.de/media/thoracic/198504/lookinside/thumbnails/10.1055-s-2007-1014130-1.jpg)
Summary
Four out of 150 patients having a PTCA at our institution sustained a coronary artery disruption and underwent emergency surgery. All of them presented a severe Stenosis of the LAD, in 2 of them there was also a Stenosis at the origin of a diagonal branch. In each case the injured vessel was a diagonal branch. Three patients had a rupture of subepicardial arteries and developed cardiac tamponade. In another patient the rupture was located intramyocardially. Severe hemodynamic derangement occurred in all 4 cases, one resulting in cardiac arrest. The latter was the only patient who died postoperatively, due to neurological damage. Two of the surviving patients sustained a non-transmural myocardial infarction in the area of the injured vessel. However, all 3 survivors recovered easily and are doing well 6 months after surgery.
Key words
PTCA - Coronary disruption - Cardiac tamponade - Emergency surgery