The blue man: an unusual happy end of a spontaneous rupture of a coronary artery | Zendy

Marie Moonen | Zendy; M. Hanssen | Zendy; Marc Radermecker | Zendy; Patrizio Lancellotti | Zendy

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The blue man: an unusual happy end of a spontaneous rupture of a coronary artery

Author(s) -

Marie Moonen,

M. Hanssen,

Marc Radermecker,

Patrizio Lancellotti

Publication year - 2008

Publication title -

european journal of cardio-thoracic surgery

Language(s) - English

Resource type - Journals

SCImago Journal Rank - 1.303

H-Index - 133

eISSN - 1873-734X

pISSN - 1010-7940

DOI - 10.1016/j.ejcts.2008.08.031

Subject(s) - medicine , cardiac tamponade , thorax (insect anatomy) , cardiology , chest pain , right coronary artery , pericardial effusion , perioperative , artery , tamponade , heart rupture , cardiac rupture , surgery , myocardial infarction , coronary angiography , anatomy

We report the case of spontaneous rupture of a coronary artery. It was that of a 56-year-old man admitted for dyspnoea and anterior thoracic pain. The most striking feature on physical examination was the marked cyanosis of his face, upper part of the thorax and the upper limb. The patient was haemodynamically unstable with tachycardia and hypotension. Cardiac tamponade was confirmed by echocardiography and computed tomography of the thorax. The patient was transferred for surgery. Emergency sternotomy revealed pericardial bloody effusion and a continuous bleeding around the posterior interventricular artery. No other perioperative findings could explain the haemopericardium. Haemostasis was obtained by a suture of the bleeding coronary artery.

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