Endovascular repair of accidental ligation of the right coronary artery during cardiorrhaphy for penetrating heart wound.
We report a patient with a cardiac penetrating wound who underwent cardiorrhaphy which resulted in accidental ligation of the proximal right coronary artery (RCA), producing a postoperative acute inferior wall myocardial infarction. Although the option of surgical relief of the suture over the RCA was discussed, a repeat operation was considered to be of very high risk. Therefore, an endovascular attempt to recanalize the vessel was chosen. The external constriction around the RCA was successfully relieved with percutaneous transluminal coronary angioplasty (PTCA) and stenting. To our knowledge, this particular situation has not yet previously been published.
Instituto Médico La Floresta, Caracas, Venezuela.
Francisco
F
Tortoledo
Leonardo
L
Izaguirre
Máximo H
MH
Trujillo
Maria Alejandra
MA
Tortoledo
D000328:Adult; D015906:Angioplasty, Balloon, Coronary; D006348:Cardiac Surgical Procedures / Q000009:adverse effects*; D003331:Coronary Vessels / Q000293:injuries*; D006335:Heart Injuries / Q000628:therapy*; D006352:Heart Ventricles / Q000293:injuries*; D006801:Humans; D007431:Intraoperative Complications / Q000628:therapy*; D022125:Lacerations / Q000628:therapy*; D008026:Ligation; D008297:Male; D015607:Stents; D013536:Suture Techniques; D014951:Wounds, Stab / Q000628:therapy*