Myocardial Hematoma Documented by Transthoracic Echocardiography After Sequential Coronary Artery Stenting.
We report the case of a patient who deteriorated suddenly while undergoing endoluminal coronary artery reconstruction with multiple stents to the left anterior descending coronary artery. With the aid of transthoracic echocardiography, a pericardial effusion was noted; however, dissection of the ventricular wall due to a large myocardial hematoma was also identified. Emergency exploration with evacuation of the pericardial blood with coronary artery bypass graft surgery was successfully accomplished. We discuss the possible factors that could have been associated with this unforeseen complication and the potential benefit of transthoracic echocardiography in early recognition.
Banerjee
Deepak
D
The Buffalo General Hospital, Cardiology Division, Room B609, Buffalo, NY 14203.
Venezia
Michele
M
López-Candales
Angel
A