[Left ventricular rupture following the procedure of percutaneous transluminal coronary angioplasty: a case report].
A 50-year-old man with 90% concentric stenosis at the proximal portion of the left anterior descending artery was tried to be treated with percutaneous transluminal coronary angioplasty (PTCA). The guide wire did not pass through the stenotic portion, and the staining out of coronary artery was recognized. Four hours after the procedure, he fell to shock status with a sign of electro-mechanical dissociation. An emergent operation confirmed the left ventricular rupture. Repair of the tear and saphenous vein bypass to the left anterior descending artery were performed rapidly, however, he was not weaned from cardiopulmonary bypass. Close communication between cardiologist and surgeon, and immediate surgical back up are essential for saving these patients from severe ischemic events following PTCA failure.
Koike
R
R
Department of Thoracic Surgery, Osaka Medical College.
Oku
T
T
Satoh
H
H
Fukuda
S
S
Sawada
Y
Y
Takeuchi
A
A
Ishihara
T
T
Seki
I
I
D015906:Angioplasty, Balloon, Coronary / Q000009:adverse effects*; D003327:Coronary Disease / Q000628:therapy; D006341:Heart Rupture / Q000209:etiology* / Q000601:surgery; D006352:Heart Ventricles; D006801:Humans; D008297:Male; D008875:Middle Aged