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[Hemopericardium caused by coronary perforation during angioplasty. A surgical diagnosis]
D Himbert1, J M Juliard, P G Steg
1Service de cardiologie, hôpital Bichat, Paris.
Archives Des Maladies Du Coeur Et Des Vaisseaux
|April 1, 1991
Insights
A rare complication of haemopericardium occurred during left anterior descending artery angioplasty due to dissection. Surgical myocardial revascularisation was needed for diagnosis and evacuation, highlighting the need for surgical backup.
Area of Science:
- Cardiology
- Interventional Cardiology
- Cardiac Surgery
Background:
- Percutaneous coronary interventions, such as angioplasty, are common procedures for treating coronary artery disease.
- Complications, though infrequent, can arise during these interventions, necessitating prompt recognition and management.
- Haemopericardium, the accumulation of blood in the pericardial sac, is a serious but rare complication.
Abstract:
A case of haemopericardium occurring during angioplasty of the left anterior descending artery complicated by an occlusive dissection is reported. The haemopericardium was diagnosed and evacuated during surgical myocardial revascularisation indicated by the failure of angioplasty. This complication, though rare, underlines the necessity of a real surgical stand-by for this procedure.