title: Cardiogenic Shock From Coronary Compression: A Difficult Diagnosis But Easy Fix.
abstract: Two patients experienced compression of a coronary artery bypass graft or native coronary artery by mediastinal drains placed after cardiac surgery. Both events were identified in the catheterization laboratory and resolved after removal of the drains. One patient required concomitant percutaneous thrombectomy of the bypass graft. Although both patients' cardiac function was initially severely impaired, neither patient had permanent cardiac damage and both were successfully discharged home.
authors.affiliation: Division of Cardiothoracic Surgery, Columbia University College of Physicians and Surgeons, New York, New York.
authors.forename: Nathaniel B
authors.initials: NB
authors.lastname: Langer
authors.affiliation: Division of Cardiology, Columbia University College of Physicians and Surgeons, New York, New York.
authors.forename: Tamim M
authors.initials: TM
authors.lastname: Nazif
authors.affiliation: Division of Cardiothoracic Surgery, Columbia University College of Physicians and Surgeons, New York, New York.
authors.forename: Matthew E
authors.initials: ME
authors.lastname: Powers
authors.affiliation: Division of Cardiothoracic Surgery, Columbia University College of Physicians and Surgeons, New York, New York.
authors.forename: Shinichi
authors.initials: S
authors.lastname: Fukuhara
authors.affiliation: Division of Cardiothoracic Surgery, Columbia University College of Physicians and Surgeons, New York, New York.
authors.forename: Michael A
authors.initials: MA
authors.lastname: Borger
authors.affiliation: Division of Cardiothoracic Surgery, Columbia University College of Physicians and Surgeons, New York, New York. Electronic address: ig2006@cumc.columbia.edu.
authors.forename: Isaac
authors.initials: I
authors.lastname: George
mesh_terms: D000368:Aged; D015505:Chest Tubes / Q000009:adverse effects*; D017023:Coronary Angiography; D001026:Coronary Artery Bypass / Q000009:adverse effects*; D054059:Coronary Occlusion / Q000150:complications / Q000175:diagnosis*; D020878:Device Removal / Q000379:methods*; D004322:Drainage / Q000009:adverse effects* / Q000295:instrumentation; D004868:Equipment Failure; D005260:Female; D006083:Graft Occlusion, Vascular / Q000150:complications / Q000175:diagnosis* / Q000601:surgery; D006801:Humans; D008297:Male; D008482:Mediastinum; D008875:Middle Aged; D012770:Shock, Cardiogenic / Q000175:diagnosis* / Q000209:etiology / Q000601:surgery