1/102. cardiac tamponade and death from intrapericardial rupture [corrected] of sinus of valsalva aneurysm.A 35-year-old woman presented with dyspnea and chest pain. She had a large aneurysm of the non-coronary sinus of valsalva. Before her scheduled urgent surgery, the patient collapsed and died of cardiac tamponade secondary to intrapericardial rupture of the aneurysm. We would advocate urgent repair of this type of lesion to prevent such an outcome. We are aware of no other specific reports addressing extracardiac rupture of non-coronary cusp aneurysms [corrected].- - - - - - - - - - ranking = 1keywords = coronary (Clic here for more details about this article) |
2/102. Atrial tamponade causing acute ischemic hepatic injury after cardiac surgery.A patient developed late cardiac tamponade after aortic valve replacement and coronary artery bypass grafting. nausea and dramatic elevations of serum aminotransferases were the initial clinical manifestations of cardiac tamponade. Severe acute ischemic hepatic injury secondary to isolated compression of both atrial cavities by two loculated thrombi was diagnosed.- - - - - - - - - - ranking = 0.5keywords = coronary (Clic here for more details about this article) |
3/102. Subacute left ventricular free-wall rupture in early course of acute myocardial infarction. Clinical report of two cases and review of the literature.Left ventricular free wall rupture (LVFWR) may complicate an acute myocardial infarction (AMI); its frequency ranges from 1 to 6 percent. In the era of coronary care units, LVFWR is the second cause of in-hospital death, after pump failure. The subacute presentation accounts for 2-3 percent of total hospital admissions for AMI. heart rupture may not be suddenly fatal and sometimes there is enough time for surgical repair. Electromechanical dissociation is neither the only nor the main clinical presentation. More subtle symptoms occurring hours or days before the final event include unexplained hypotension and transient bradycardia and some ECG features such as persistent ST-segment elevation with T-waves failing to invert in the same leads. On echocardiographic subcostal view, pericardial effusion of more than 5-10 mm, with echo-dense masses overlying the heart independently of cardiac tamponade, is highly suggestive of heart rupture. If pericardiocentesis yields hemorrhagic fluid, surgical intervention is mandatory, providing both diagnostic confirmation and definitive treatment. Medical management strategies (prolonged bed rest, beta-blockade therapy) are still experimental but could become suitable for particular subsets of patients (elderly patients and patients at a high surgical risk). We report two cases of subacute LVFWR and review the currently available literature.- - - - - - - - - - ranking = 0.5keywords = coronary (Clic here for more details about this article) |
4/102. Acute myocardial infarction: a rare presentation of pancreatic carcinoma.Secondary neoplastic involvement of the heart is common but usually asymptomatic. Malignancy rarely presents as acute pericarditis, cardiac tamponade, and myocardial infarction in the same patient. We report a patient with unsuspected metastatic pancreatic adenocarcinoma who presented with acute pericarditis and cardiac tamponade and subsequently developed a myocardial infarction due to coronary artery occlusion secondary to a metastatic deposit around the left anterior descending artery.- - - - - - - - - - ranking = 0.5keywords = coronary (Clic here for more details about this article) |
5/102. Surgical treatment for a supra sinotubular junctional saccular aneurysm associated with aortic regurgitation.We reported a patient with a saccular ascending aortic aneurysm located just above the non-coronary sinotubular junction. The aneurysm produced severe aortic regurgitation and two episodes of cardiac tamponade. By intraoperative inspection, the border between the aneurysmal wall and non-dilated portion of the normal aortic wall was distinct, and the aortic valve leaflets and aortic annulus appeared normal. aortic valve dysfunction appeared to be caused by dilation of the noncoronary sinotubular junction and mild distortion of the noncoronary sinus because of the aneurysmal formation. We performed patch closure of the aneurysmal ostium and repaired the dilated noncoronary sinotubular junction. Postoperative echocardiography and aortography demonstrated a good coaptation of the aortic valve leaflets with trivial aortic regurgitation. Although a rupture site, dissection or carcinomatous pericarditis which is attributable to the two episodes of cardiac tamponade could not be found, pathologic examination of the aneurysm wall revealed intramural blood leakage between the mucoid degenerated media and notably thickened adventitia. In addition, there was thinning and interruption of the elastic fibers of the media. These findings are consistent with a leaking aneurysm which cause the slow development of cardiac tamponade.- - - - - - - - - - ranking = 2keywords = coronary (Clic here for more details about this article) |
6/102. Primary cardiac angiosarcoma with right coronary artery-to-pericardial fistula--a case report.Primary cardiac sarcoma is a rare tumor that is difficult to diagnose preoperatively. Hemopericardium and coronary artery fistula are rare complications of primary cardiac sarcoma. The authors report a case of primary cardiac angiosarcoma presenting with hemopericardium, secondary to right coronary artery-to-pericardial fistula, with a review of the literature.- - - - - - - - - - ranking = 3keywords = coronary (Clic here for more details about this article) |
7/102. A minimally invasive approach to chylopericardium after coronary artery surgery.We report a case of chylopericardium and chylothorax after coronary artery bypass grafting, which presented as delayed cardiac tamponade. We describe the minimally invasive management of a condition that can be associated with a protracted surgical course.- - - - - - - - - - ranking = 2.5keywords = coronary (Clic here for more details about this article) |
8/102. Delayed cardiac tamponade after minimally invasive direct coronary artery bypass.We experienced a rare case of delayed cardiac tamponade after minimally invasive coronary artery bypass (MIDCAB). pericardial effusion was successfully drained under ultrasonic guidance.- - - - - - - - - - ranking = 2.5keywords = coronary (Clic here for more details about this article) |
9/102. Gelfoam embolization of a distal coronary artery guidewire perforation.A guidewire-induced distal coronary artery perforation presenting with cardiac tamponade was occluded by distal Gelfoam embolization via an infusion catheter. This extends the treatment options for this rare complication of coronary interventional procedures. Cathet. Cardiovasc. Intervent. 49:214-217, 2000.- - - - - - - - - - ranking = 3keywords = coronary (Clic here for more details about this article) |
10/102. Effect of pericardial pressure on human coronary circulation.A 52-year-old patient underwent percutaneous balloon pericardiotomy because of rapid fluid accumulation. During the procedure, we calculated the amount of blood flow to the nondiseased left anterior descending coronary artery while pericardial pressure was gradually increased by the infusion of warmed normal saline solution. Coronary vasodilator reserve was assessed by intracoronary adenosine. With increasing pericardial pressure, there was a continuous decline in coronary blood flow, due to an increase in coronary vascular resistance, and an unaffected hyperemic response throughout. The maximal hyperemic flow was far less under increased pericardial pressure than at normal pressure, which implies an augmented susceptibility to myocardial ischemia.- - - - - - - - - - ranking = 4.0173357426448keywords = coronary, circulation (Clic here for more details about this article) |
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