Related Experiment Video

Updated: Dec 25, 2025

Utilizing Percutaneous Ventricular Assist Devices in Acute Myocardial Infarction Complicated by Cardiogenic Shock
06:10

Utilizing Percutaneous Ventricular Assist Devices in Acute Myocardial Infarction Complicated by Cardiogenic Shock

Published on: June 12, 2021

3.5K

Giant Intramural Right Ventricular Hematoma after PCI in a Patient with Condition after CABG

Maximilian Vondran1,2, Tamer Ghazy2, Terezia Bogdana Andrási1

  • 1Department of Cardiac and Thoracic Vascular Surgery, University Hospital of Giessen and Marburg Campus Marburg, Marburg, Germany.

The Thoracic and Cardiovascular Surgeon Reports
|March 25, 2020
PubMed

Insights

Coronary artery perforation during percutaneous coronary intervention (PCI) is rare but serious. Prior coronary artery bypass grafting (CABG) does not prevent cardiac tamponade, as shown by a case of right ventricular hematoma after PCI.

Area of Science:

  • Cardiology
  • Interventional Cardiology
  • Cardiac Surgery

Background:

  • Coronary artery perforation during percutaneous coronary intervention (PCI) is a rare but potentially fatal complication.
  • A misconception exists that cardiac tamponade is infrequent in patients with prior coronary artery bypass grafting (CABG).

Observation:

  • This report details a case of a large intramural hematoma in the right ventricle following PCI.
  • The PCI procedure was performed via a saphenous vein graft to address a distal right coronary artery stenosis.

Findings:

  • The patient's right ventricular intramural hematoma was successfully treated with redo cardiac surgery.
  • This case challenges the notion that cardiac tamponade is rare in post-CABG patients undergoing PCI.

Implications:

  • Complex elective PCIs in patients with prior CABG require specialized centers with experienced heart teams.
  • Prompt recognition and expert management are crucial for handling potential complications like cardiac tamponade after PCI in CABG patients.

Keywords:
CABGcardiac catheterization/interventioncardiology/cardiologistcomplicationscoronary artery bypass graftingmyocardial injuryreoperationsurgery

More Related Videos

Implantation of Total Artificial Heart in Congenital Heart Disease07:27

Implantation of Total Artificial Heart in Congenital Heart Disease

Published on: July 18, 2014

25.0K
Generation and Characterization of Right Ventricular Myocardial Infarction Induced by Permanent Ligation of the Right Coronary Artery in Mice10:18

Generation and Characterization of Right Ventricular Myocardial Infarction Induced by Permanent Ligation of the Right Coronary Artery in Mice

Published on: February 1, 2022

3.4K

Related Concept Videos

Cardiac Catheterization II: Right Heart Catheterization01:21

Cardiac Catheterization II: Right Heart Catheterization

Right Heart Catheterization: An OverviewRight heart catheterization is an invasive diagnostic procedure that measures right-sided cardiac and pulmonary artery pressures, calculates cardiac output, and identifies intracardiac shunts. It provides detailed hemodynamic data essential for diagnosing and managing various cardiovascular conditions, such as pulmonary hypertension.Access SitesCommon access sites for right heart catheterization include the internal jugular vein in the neck region, the...
587
Aneurysm III: Interprofessional Care01:26

Aneurysm III: Interprofessional Care

Aneurysm management involves either conservative medical therapy or surgical intervention, depending on the size and symptoms of the aneurysm. Conservative management is generally reserved for smaller, asymptomatic aneurysms, while larger or symptomatic aneurysms often necessitate surgical repair.Conservative Medical TherapyFor small, asymptomatic aneurysms, particularly abdominal aortic aneurysms (AAA) less than 5.5 centimeters in diameter, conservative medical therapy is recommended. This...
187
Cardiomyopathy V: Interprofessional Care01:29

Cardiomyopathy V: Interprofessional Care

Managing cardiomyopathy involves addressing underlying or precipitating causes, treating heart failure with medications, and implementing dietary changes and a balanced exercise and rest regimen.Lifestyle ModificationsCardiomyopathy patients should adopt a low-sodium diet to reduce fluid retention and manage heart failure. A personalized exercise and rest plan helps maintain physical fitness without overstraining the heart. Avoiding alcohol and tobacco is essential to prevent further damage to...
237
Cardiomyopathy III: Hypertrophic Cardiomyopathy01:29

Cardiomyopathy III: Hypertrophic Cardiomyopathy

Hypertrophic cardiomyopathy, or HCM, is an autosomal dominant genetic disorder characterized by asymmetric left ventricular hypertrophy without ventricular dilation. It is more common in men and is typically diagnosed in young, athletic adults.EtiologyHCM is primarily genetic and is caused by mutations in genes encoding sarcomeric proteins. Researchers have identified over 1400 mutations across at least 11 different genes. Among these, the most frequently occurring mutations are found in the...
289