Cardiogenic Shock Caused by a Large Sub-Epicardial Hematoma Complicating Percutaneous Coronary Intervention

• 作者: Atsushi Hirayama Daisuke Fukamachi Nobuyuki Fujii Toshihiko Nishida Yoshiharu Higuchi
• 来源期刊: 临床医学病理报告(英文)
• 学科: 医学
• 关键词: Sub-Epicardial HEMATOMA Cardiac TAMPONADE Percutaneous CORONARY Intervention CORONARY Artery BYPASS GRAFTING
• 年，卷（期）: 2015,（6）
• 页码范围: 233-236
• 页数: 4页
• 分类号: R5

摘要

A 56-year-old man with a history of old myocardial infarction and coronary artery bypass grafting was performed percutaneous coronary intervention to the totally occluded lesion of native left anterior descending artery. He developed a coronary arterial perforation that led to a large dissecting sub-epicardial hematoma. Emergent surgery was performed, and a large hematoma was removed from the sub-epicardial space. Continuous drainage of blood was observed after surgery, and the patient died due to the development of multiorgan dysfunction. An autopsy revealed an extensive sub-epicardial hematoma on the lateral wall of the left ventricle and broad necrosis of the myocardium in the lateral wall.