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Cardiovascular Intervention and Therapeutics

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01-10-2016 | Case Report

Cardiac tamponade arising from a venous source following anterograde dissection re-entry coronary angioplasty to a chronic total occlusion

Authors: E. Danson, F. Arena, J. Sapontis, M. Ward, R. Bhindi

Published in: Cardiovascular Intervention and Therapeutics | Issue 4/2016

Abstract

Cardiac tamponade is a rare complication of coronary intervention to chronic total occlusions (CTO PCI). We report a case of persistent bleeding from a venous source following successful anterograde dissection-reentry (ADR) CTO PCI. Pericardiocentesis was performed 1 h post-procedure for tamponade. Persistent bleeding was investigated with contrast transesophageal echocardiography, pericardial manometry and blood analysis. Coronary venography revealed subtle extravasation from a cardiac vein adjacent to the site of luminal re-entry. Coronary venous perforation using ADR CTO PCI has not previously been described; however, the volume of blood loss may be significant and surgical exploration may be appropriate.

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Title: Cardiac tamponade arising from a venous source following anterograde dissection re-entry coronary angioplasty to a chronic total occlusion
Authors: E. Danson
F. Arena
J. Sapontis
M. Ward
R. Bhindi
Publication date: 01-10-2016
Publisher: Springer Japan
Published in: Cardiovascular Intervention and Therapeutics / Issue 4/2016
Print ISSN: 1868-4300
Electronic ISSN: 1868-4297
DOI: https://doi.org/10.1007/s12928-015-0351-3

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