Open AccessRight ventricular injury and pulmonary embolism: The perils of deep intramyocardial left anterior descending artery dissection in off-pump coronary artery bypass grafting
Author(s) -
Biswarup Purkayastha,
Lalit Kapoor,
Vikash Toshniwal,
Devraj Kumar
Publication year - 2021
Publication title -
annals of cardiac anaesthesia/annals of cardiac anaesthesia
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.42
H-Index - 27
eISSN - 0974-5181
pISSN - 0971-9784
DOI - 10.4103/aca.aca_49_19
Subject(s) - medicine , ventricle , cardiology , cardiopulmonary bypass , air embolism , artery , off pump coronary artery bypass , dissection (medical) , pulmonary artery , pulmonary embolism , bypass grafting , embolism , surgery , complication
An inadvertent vent in the right ventricle (RV) resulted during dissection of a deep intramyocardial left anterior descending coronary artery (LAD), during off-pump coronary artery bypass grafting (OPCAB), led to pulmonary artery air embolism and hemodynamic instability, requiring conversion to cardiopulmonary bypass (CPB) prior to repair. This required a special maneuver in positioning the patient to identify the RV injury and prevent the pulmonary air embolism.