Emergency surgery after saphenous vein graft perforation complicated by catheter balloon entrapment and hemorrhagic shock

The Annals of Thoracic Surgery
Roberto LorussoCarlo Fucci

Abstract

Emergency surgery for acute vein graft perforation and balloon entrapment during percutaneous angioplasty is reported here. Prompt extracorporeal circulation through peripheral cannulation enabled the control of systemic perfusion despite cardiac arrest. Vein graft repair was achieved by an autologous pericardial patch. Appropriate and tailored mechanical circulatory support allowed successful extracorporeal circulation withdrawal, limited intraoperative cardiac damage, and postoperative controlled recovery of ventricular function with ultimate favorable outcome.

References

Jul 1, 1987·British Heart Journal·E DrummerJ Hollman
Jan 1, 1988·Catheterization and Cardiovascular Diagnosis·D L NamayS B King
Jun 25, 2003·Circulation·Goran StankovicUNKNOWN Randomized Evaluation of polytetrafluoroethylene COVERed stent in Saphenous vein grafts investigators
Dec 13, 2005·International Journal of Cardiology·Worawut TassanawiwatAntonio Colombo

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Citations

Feb 3, 2016·Cardiovascular Revascularization Medicine : Including Molecular Interventions·Mohammed Andaleeb Chowdhury, Mujeeb Abdul Sheikh
Sep 4, 2010·Catheterization and Cardiovascular Interventions : Official Journal of the Society for Cardiac Angiography & Interventions·D K Baruah
Jul 29, 2016·Cardiovascular Revascularization Medicine : Including Molecular Interventions·Aris KaratasakisEmmanouil S Brilakis

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