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Hemopericardium Due to Idiopathic Coronary Artery Rupture Treated with Saphenous Vein Patch Plasty

Benedikt Mayr1, Stefan Buchholz1, Christian Hagl1

  • 1Department of Cardiac Surgery, University Hospital of Munich LMU, Munich, Germany.

The Thoracic and Cardiovascular Surgeon Reports
|December 27, 2016
PubMed

Insights

Idiopathic coronary artery rupture is a rare cause of cardiac tamponade in young adults. This case highlights the importance of considering this diagnosis in patients presenting with these symptoms.

Area of Science:

  • Cardiology
  • Cardiovascular Surgery

Background:

  • Idiopathic coronary artery rupture is a rare condition.
  • Cardiac tamponade can be a life-threatening complication.

Purpose of the Study:

  • To report a rare case of idiopathic coronary artery rupture.
  • To emphasize the importance of considering this diagnosis in young patients with cardiac tamponade.

Main Methods:

  • Median sternotomy and cardiopulmonary bypass were performed.
  • Perforation of the right posterior descending coronary artery was identified.
  • Saphenous vein patch plasty was used for repair.

Main Results:

  • Successful identification and surgical repair of coronary artery perforation.
  • Resolution of cardiac tamponade.

Conclusions:

  • Idiopathic coronary artery rupture should be considered in young patients with cardiac tamponade.
  • Surgical intervention can be life-saving.

Keywords:
artery/arteries (includes all peripheral arteries)cardiovascular surgeryheart disease

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