Left ventricular wall hematoma and cardiac tamponade complicating percutaneous coronary intervention using IIb/IIIa receptor antagonists.
A case of intramyocardial hematoma and cardiac tamponade after complicated percutaneous coronary intervention is reported. Hemorrhage as a result of the antiplatelet effect of IIb/IIIa receptor antagonists is the considered underlying mechanism.
Van Mieghem
Carlos
C
Department of Cardiology, University Hospital of Gasthuisberg, Herestraat 49, B-3000, Leuven, Belgium. cvanmieghem@hotmail.com
Dens
Jo
J
Herregods
Marie-Christine
MC
Desmet
Walter
W
D000077284:Abciximab; D000368:Aged; D000911:Antibodies, Monoclonal / Q000009:adverse effects*; D006328:Cardiac Catheterization / Q000009:adverse effects*; D002305:Cardiac Tamponade / Q000139:chemically induced*; D017548:Echocardiography, Transesophageal; D017809:Fatal Outcome; D006352:Heart Ventricles / Q000293:injuries; D006801:Humans; D007140:Immunoglobulin Fab Fragments / Q000009:adverse effects*; D008297:Male; D009203:Myocardial Infarction / Q000150:complications / Q000601:surgery; D009204:Myocardial Revascularization / Q000009:adverse effects; D010975:Platelet Aggregation Inhibitors / Q000009:adverse effects*; D019106:Postoperative Hemorrhage / Q000139:chemically induced*
D000911:Antibodies, Monoclonal; D007140:Immunoglobulin Fab Fragments; D010975:Platelet Aggregation Inhibitors; D000077284:Abciximab