- A retained guidewire fractured with subsequent pericardial tamponade two years after endovascular neurointervention. [Journal Article]
- INInterv Neuroradiol 2018 Sep 18; :1591019918801538
- Entrapment of aneurysm embolization hardware is an extremely rare complication of endovascular neurointerventional procedures. We describe a case of a retained guidewire in a 42-year-old male during ...
Entrapment of aneurysm embolization hardware is an extremely rare complication of endovascular neurointerventional procedures. We describe a case of a retained guidewire in a 42-year-old male during an aneurysm embolization. After unsuccessful attempts at removal via interventional methods, we decided to leave the guidewire within the vessel. A guidewire fracture resulted in several fragments in the carotid artery and aorta with subsequent cardiac tamponade, pseudoaneurysm and aortojejunal fistula two years later. The fragments in the aorta were removed via interventional and surgical methods. We advocate early surgical management of the retained guidewires after unsuccessful retractions via interventional methods. Meticulous and gentle maneuvering is necessary to prevent such serious complications.
- Scarce case of giant coronary artery aneurysm combined with huge pseudoaneurysm causing cardiac tamponade. [Journal Article]
- AJANZ J Surg 2018 Sep 17
- Myocardial rupture after small acute myocardial infarction in the absence of coronary artery disease. [Journal Article]
- CPCardiovasc Pathol 2018 Aug 25; 37:26-29
- A 73-year-old woman with a past medical history of hypertension suffered a cardiac arrest. After successful resuscitation, she was hypotensive and tachycardic and the ECG showed ST elevation in the i...
A 73-year-old woman with a past medical history of hypertension suffered a cardiac arrest. After successful resuscitation, she was hypotensive and tachycardic and the ECG showed ST elevation in the inferior and lateral precordial leads. Coronary angiography did not show evidence of obstructive coronary artery disease. A bedside echocardiogram demonstrated a large pericardial effusion with signs of cardiac tamponade. The echocardiogram and subsequent aortic root angiography did not reveal evidence of dissection. Pericardiocentesis removed 700 cc of bloody fluid with relief of tamponade. A few minutes later the patient again arrested. Fluid was again drained but she suffered recurrent hemodynamic collapse and could not be resuscitated. Autopsy revealed a small transmural myocardial infarction with external rupture and hemopericardium. There was only mild coronary artery disease without evidence of plaque rupture. This case illustrates that mild coronary artery disease and a small myocardial infarction can lead to catastrophic mechanical complications.
- Impact of Direct TAVR Without Balloon Aortic Valvuloplasty on Procedural and Clinical Outcomes: Insights From the FRANCE TAVI Registry. [Journal Article]
- JCJACC Cardiovasc Interv 2018 Sep 06
- CONCLUSIONS: We confirmed that TAVR without BAV is frequently performed in France with good procedural results. This procedure is associated with procedural simplification and lower rates of residual aortic regurgitation.
- Treatment of coronary malperfusion in type A acute aortic dissection. [Review]
- GTGen Thorac Cardiovasc Surg 2018 Sep 14
- Coronary malperfusion is one of the most dreadful complications of acute aortic dissection because it causes catastrophic acute myocardial infarction in patients who are already severely ill. Our str...
Coronary malperfusion is one of the most dreadful complications of acute aortic dissection because it causes catastrophic acute myocardial infarction in patients who are already severely ill. Our strategy was as follows. After the administration of heparin, emergency percutaneous coronary intervention (PCI) was urgently performed at the same time as starting to prepare the operating room. A stent was then placed to cover the full length of dissected coronary artery. Patients whose cardiac function improved after successful coronary artery reperfusion were transferred to the operating room to undergo central repair surgery. If the cardiac function did not recover even after coronary reperfusion, and the patient required extracorporeal membrane oxygenation, we considered the best supportive care without performing central repair surgery. In patients with left coronary malperfusion, we believe that preoperative PCI must be performed immediately. Preoperative PCI might delay central repair surgery and potentially increase the risk of catastrophic cardiac tamponade. However, the benefit of PCI in preserving cardiac function exceeds the risk of cardiac tamponade. The indications of PCI before central repair in patients with right coronary malperfusion should be considered after assessing each patient's condition, including the presence or absence of cardiac tamponade and right ventricular infarction, left ventricular function, the immediate availability of cardiologists or cardiac surgeons, and the speed of preparing the operating room.
- A rare complication of pacemaker implantation. [Journal Article]
- CCClin Case Rep 2018; 6(9):1891-1892
- Lead perforation is a life-threatening rare complication of pacemaker or defibrillator lead implantation. Clinical examination, electrocardiogram, device interrogation, echocardiography, chest x-ray,...
Lead perforation is a life-threatening rare complication of pacemaker or defibrillator lead implantation. Clinical examination, electrocardiogram, device interrogation, echocardiography, chest x-ray, and chest computed tomography scan can help in the diagnosis. Clinicians should be aware because early diagnosis and treatment are the cornerstones for achieving a better outcome.
- Cardiac tamponade secondary to right ventricular perforation caused by a temporary pacemaker lead in the course of myocardial infarction. [Journal Article]
- CJCardiol J 2018; 25(4):538-539
- Acute gastric volvulus presenting as a pseudo cardiac tamponade. [Journal Article]
- BCBMJ Case Rep 2018 Sep 12; 2018
- [Clinical Efficacy of Prone Positioning in Elderly Patients with Respiratory Failure after Thoracic Aortic Surgery]. [Journal Article]
- KGKyobu Geka 2018; 71(8):583-586
- In order to demonstrate the clinical efficacy of prone positioning(PP), we reviewed 2 elderly patients with respiratory failure who underwent thoracic aortic surgery. Case 1:An 80-year-old man with t...
In order to demonstrate the clinical efficacy of prone positioning(PP), we reviewed 2 elderly patients with respiratory failure who underwent thoracic aortic surgery. Case 1:An 80-year-old man with true thoracic aortic aneurysm (TAA) underwent total arch replacement under moderate hypothermia. Two days after surgery, PP was conducted for 3 hours to treat atelectasis and poor oxygenation. His respiratory state and oxygenation subsequently improved and he was weaned from ventilator assistance. Case 2:An 82-year-old woman with early thrombosed acute type A aortic dissection and cardiac tamponade underwent emergency primary repair of the ascending aorta under moderate hypothermia. Six days after surgery, PP was conducted for approximately 3 hours to improve oxygenation. She was weaned from the ventilator 7 days after surgery. The clinical courses of both cases after PP were uneventful. In order to improve the respiratory state of elderly patients after TAA surgery, PP is effective and useful.
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- Pericardial injury from chest compression: a case report of incidental release of cardiac tamponade. [Journal Article]
- JIJ Intensive Care 2018; 6:54
- CONCLUSIONS: We report a case of pericardial injury without skeletal fracture caused by chest compression. The pericardial laceration may have inadvertently served to release the cardiac tamponade induced by the acute aortic dissection, resulting in the hemothorax, and provided time to receive surgery.