Right ventricular injury and pulmonary embolism: The perils of deep intramyocardial left anterior descending artery dissection in off-pump coronary artery bypass grafting

An inadvertent vent in the right ventricle (RV) resulted during dissection of a deep intramyocardial left anterior descending coronary artery (LAD), during off-pump coronary artery bypass grafting (OPCAB), led to pulmonary artery air embolism and hemodynamic instability, requiring conversion to card...

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Autores principales: Purkayastha, Biswarup, Kapoor, Lalit, Toshniwal, Vikash, Kumar, Devraj
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Wolters Kluwer - Medknow 2021
Materias:
Case Report
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8081134/
https://www.ncbi.nlm.nih.gov/pubmed/33938844
http://dx.doi.org/10.4103/aca.ACA_49_19
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author Purkayastha, Biswarup
Kapoor, Lalit
Toshniwal, Vikash
Kumar, Devraj
author_facet Purkayastha, Biswarup
Kapoor, Lalit
Toshniwal, Vikash
Kumar, Devraj
author_sort Purkayastha, Biswarup
collection PubMed
description An inadvertent vent in the right ventricle (RV) resulted during dissection of a deep intramyocardial left anterior descending coronary artery (LAD), during off-pump coronary artery bypass grafting (OPCAB), led to pulmonary artery air embolism and hemodynamic instability, requiring conversion to cardiopulmonary bypass (CPB) prior to repair. This required a special maneuver in positioning the patient to identify the RV injury and prevent the pulmonary air embolism.
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spelling pubmed-80811342021-06-02 Right ventricular injury and pulmonary embolism: The perils of deep intramyocardial left anterior descending artery dissection in off-pump coronary artery bypass grafting Purkayastha, Biswarup Kapoor, Lalit Toshniwal, Vikash Kumar, Devraj Ann Card Anaesth Case Report An inadvertent vent in the right ventricle (RV) resulted during dissection of a deep intramyocardial left anterior descending coronary artery (LAD), during off-pump coronary artery bypass grafting (OPCAB), led to pulmonary artery air embolism and hemodynamic instability, requiring conversion to cardiopulmonary bypass (CPB) prior to repair. This required a special maneuver in positioning the patient to identify the RV injury and prevent the pulmonary air embolism. Wolters Kluwer - Medknow 2021 2021-01-22 /pmc/articles/PMC8081134/ /pubmed/33938844 http://dx.doi.org/10.4103/aca.ACA_49_19 Text en Copyright: © 2021 Annals of Cardiac Anaesthesia https://creativecommons.org/licenses/by-nc-sa/4.0/This is an open access journal, and articles are distributed under the terms of the Creative Commons Attribution-NonCommercial-ShareAlike 4.0 License, which allows others to remix, tweak, and build upon the work non-commercially, as long as appropriate credit is given and the new creations are licensed under the identical terms.
spellingShingle Case Report
Purkayastha, Biswarup
Kapoor, Lalit
Toshniwal, Vikash
Kumar, Devraj
Right ventricular injury and pulmonary embolism: The perils of deep intramyocardial left anterior descending artery dissection in off-pump coronary artery bypass grafting
title Right ventricular injury and pulmonary embolism: The perils of deep intramyocardial left anterior descending artery dissection in off-pump coronary artery bypass grafting
title_full Right ventricular injury and pulmonary embolism: The perils of deep intramyocardial left anterior descending artery dissection in off-pump coronary artery bypass grafting
title_fullStr Right ventricular injury and pulmonary embolism: The perils of deep intramyocardial left anterior descending artery dissection in off-pump coronary artery bypass grafting
title_full_unstemmed Right ventricular injury and pulmonary embolism: The perils of deep intramyocardial left anterior descending artery dissection in off-pump coronary artery bypass grafting
title_short Right ventricular injury and pulmonary embolism: The perils of deep intramyocardial left anterior descending artery dissection in off-pump coronary artery bypass grafting
title_sort right ventricular injury and pulmonary embolism: the perils of deep intramyocardial left anterior descending artery dissection in off-pump coronary artery bypass grafting
topic Case Report
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8081134/
https://www.ncbi.nlm.nih.gov/pubmed/33938844
http://dx.doi.org/10.4103/aca.ACA_49_19
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