title: Localized pulmonary artery compression due to saphenous vein graft perforation during percutaneous coronary intervention.
abstract: Saphenous vein graft interventions are recognised as high risk procedures for adverse outcomes. We present a case of a ruptured vein graft causing a focal hematoma that led to pulmonary artery compression and cardiogenic shock without the classical signs of tamponade. Multi-modality imaging revealed the aetiology and the hematoma resolved after the patient received cardio-pulmonary resuscitation during attempted percutaneous drainage. Localized pulmonary artery compression is a rare complication of percutaneous coronary interventions (PCI). Its recognition and management are discussed, with the importance of early detection and urgent invasive management emphasized.
authors: Cardiology Department, Royal Brisbane & Women's Hospital, Herston, Queensland, Australia.
authors: Rohan S
authors: RS
authors: Poulter
authors: Mark
authors: M
authors: Dooris
mesh_terms: D000369:Aged, 80 and over; D015906:Angioplasty, Balloon, Coronary / Q000009:adverse effects*; D006328:Cardiac Catheterization; D016887:Cardiopulmonary Resuscitation / Q000379:methods; D017023:Coronary Angiography; D001026:Coronary Artery Bypass / Q000379:methods; D023921:Coronary Stenosis / Q000000981:diagnostic imaging / Q000601:surgery*; D019299:Decompression, Surgical / Q000379:methods; D004322:Drainage / Q000379:methods; D018618:Echocardiography, Doppler, Color / Q000379:methods; D005500:Follow-Up Studies; D006406:Hematoma / Q000175:diagnosis / Q000209:etiology / Q000628:therapy; D006801:Humans; D007049:Iatrogenic Disease; D007431:Intraoperative Complications / Q000175:diagnosis / Q000628:therapy*; D008297:Male; D011651:Pulmonary Artery / Q000503:physiopathology*; D018570:Risk Assessment; D012501:Saphenous Vein / Q000293:injuries* / Q000637:transplantation; D012770:Shock, Cardiogenic / Q000175:diagnosis / Q000209:etiology / Q000628:therapy; D014057:Tomography, X-Ray Computed / Q000379:methods; D016896:Treatment Outcome