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Myocardial Ischemia Caused by Subepicardial Hematoma

Background Bleeding from bypass anastomosis leakage occurs early after coronary artery bypass grafting. Later, once the anastomosis is covered by intima, spontaneous bleeding is unlikely. Case Description A 63-year-old male patient developed a pseudoaneurysm-like, subepicardial late-term bleeding re...

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Autores principales: Grieshaber, Philippe, Nef, Holger, Böning, Andreas, Niemann, Bernd
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Georg Thieme Verlag KG 2017
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5367147/
https://www.ncbi.nlm.nih.gov/pubmed/28352501
http://dx.doi.org/10.1055/s-0037-1601315
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author Grieshaber, Philippe
Nef, Holger
Böning, Andreas
Niemann, Bernd
author_facet Grieshaber, Philippe
Nef, Holger
Böning, Andreas
Niemann, Bernd
author_sort Grieshaber, Philippe
collection PubMed
description Background Bleeding from bypass anastomosis leakage occurs early after coronary artery bypass grafting. Later, once the anastomosis is covered by intima, spontaneous bleeding is unlikely. Case Description A 63-year-old male patient developed a pseudoaneurysm-like, subepicardial late-term bleeding resulting in a hematoma that compromised coronary artery flow by increasing extracoronary pressure. This resulted in severe angina pectoris (Canadian Cardiovascular Society IV) and myocardial ischemia within the affected area. After surgical removal of the hematoma and repair of the anastomosis, the patient's symptoms disappeared and no signs of myocardial ischemia were present. Conclusion Surgical removal is an efficient therapy for subepicardial hematoma inducing myocardial ischemia.
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spelling pubmed-53671472017-03-28 Myocardial Ischemia Caused by Subepicardial Hematoma Grieshaber, Philippe Nef, Holger Böning, Andreas Niemann, Bernd Thorac Cardiovasc Surg Rep Background Bleeding from bypass anastomosis leakage occurs early after coronary artery bypass grafting. Later, once the anastomosis is covered by intima, spontaneous bleeding is unlikely. Case Description A 63-year-old male patient developed a pseudoaneurysm-like, subepicardial late-term bleeding resulting in a hematoma that compromised coronary artery flow by increasing extracoronary pressure. This resulted in severe angina pectoris (Canadian Cardiovascular Society IV) and myocardial ischemia within the affected area. After surgical removal of the hematoma and repair of the anastomosis, the patient's symptoms disappeared and no signs of myocardial ischemia were present. Conclusion Surgical removal is an efficient therapy for subepicardial hematoma inducing myocardial ischemia. Georg Thieme Verlag KG 2017-01 /pmc/articles/PMC5367147/ /pubmed/28352501 http://dx.doi.org/10.1055/s-0037-1601315 Text en © Thieme Medical Publishers
spellingShingle Grieshaber, Philippe
Nef, Holger
Böning, Andreas
Niemann, Bernd
Myocardial Ischemia Caused by Subepicardial Hematoma
title Myocardial Ischemia Caused by Subepicardial Hematoma
title_full Myocardial Ischemia Caused by Subepicardial Hematoma
title_fullStr Myocardial Ischemia Caused by Subepicardial Hematoma
title_full_unstemmed Myocardial Ischemia Caused by Subepicardial Hematoma
title_short Myocardial Ischemia Caused by Subepicardial Hematoma
title_sort myocardial ischemia caused by subepicardial hematoma
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5367147/
https://www.ncbi.nlm.nih.gov/pubmed/28352501
http://dx.doi.org/10.1055/s-0037-1601315
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