title: [Bypass perforation by stent implantation: complication management. A case report].
abstract: We describe a case-report on an perforation of an aorto-coronary venous bypass graft, a complication induced by a stent-implantation. Perforations of coronary arteries are rare, however, for interventional cardiologists well-known complications. This case report is of special interest (1) because the perforation did not occur in a coronary artery but rather in an eight year old venous bypass graft and (2) because the perforation was induced by a stent-implantation. In addition, this case report describes in great detail the management of vessel perforation: several invasive methods contributed to minimize pericardial effusion and to stabilize the patient until surgical revision could be performed.
authors.affiliation: Medizinische Universitätsklinik Freiburg Abt. Innere Medizin III.
authors.forename: A
authors.initials: A
authors.lastname: Michael
authors.forename: U
authors.initials: U
authors.lastname: Solzbach
authors.forename: B
authors.initials: B
authors.lastname: Saurbier
authors.forename: S
authors.initials: S
authors.lastname: Schmidt-Schweda
authors.forename: J
authors.initials: J
authors.lastname: Schöllhorn
authors.forename: F
authors.initials: F
authors.lastname: Beyersdorf
authors.forename: H
authors.initials: H
authors.lastname: Just
authors.forename: C
authors.initials: C
authors.lastname: Holubarsch
mesh_terms: D000368:Aged; D015906:Angioplasty, Balloon, Coronary / Q000295:instrumentation*; D002305:Cardiac Tamponade / Q000000981:diagnostic imaging / Q000601:surgery; D002404:Catheterization / Q000295:instrumentation; D017023:Coronary Angiography; D001026:Coronary Artery Bypass; D003331:Coronary Vessels / Q000293:injuries* / Q000601:surgery; D004868:Equipment Failure; D006083:Graft Occlusion, Vascular / Q000000981:diagnostic imaging / Q000628:therapy*; D006801:Humans; D008297:Male; D012086:Reoperation; D012770:Shock, Cardiogenic / Q000000981:diagnostic imaging / Q000601:surgery; D015607:Stents; D013908:Thoracotomy; D014680:Veins / Q000637:transplantation*
vernacular_title: Bypass-Perforation durch Stentimplantation: Komplikationsmanagement. Ein Fallbericht.