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“Off‐Pump” Repair of a Postangioplasty Coronary Artery Bleed
Author(s) -
Devey Luke R.,
Shaw Thomas R.D.,
Zamvar Vipin
Publication year - 2005
Publication title -
journal of cardiac surgery
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.428
H-Index - 58
eISSN - 1540-8191
pISSN - 0886-0440
DOI - 10.1111/j.1540-8191.2005.200424.x
Subject(s) - medicine , artery , retractor , cardiopulmonary bypass , cardiology , stent , surgery , tamponade , coronary angiography , myocardial infarction
Following percutaneous multivessel coronary stent implantation with full anticoagulation, a 65‐year‐old man suffered tamponade and cardiac arrest. After successful resuscitation, he underwent repeat coronary angiography which demonstrated extravasation of contrast from a distal circumflex subbranch. Thereafter, he was transferred to the cardiothoracic surgery unit where the leaking vessel was oversewn using the Medtronic Octopus Retractor for stabilization. This report illustrates the growing wider use of “off‐pump” techniques beyond coronary artery bypass grafting. In this case, the patient was exposed to a much shorter procedure with less morbidity than could have been expected had cardiopulmonary bypass been used.