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Possible contribution of pericardial tamponade to coronary artery bypass graft occlusion.

Abstract：

:We report an association between pericardial tamponade and early post-surgical occlusion of a coronary bypass graft. The presented patient developed pericarditis following myocardial infarction and bypass surgery. He was readmitted with myocardial reinfarction and cardiogenic shock 1 week after surgery. Coronary angiography revealed occlusion of a saphenous-vein graft to the right coronary artery. Concomitantly, pericardial tamponade was diagnosed on the basis of typical hemodynamics and echocardiographic findings. The patient recovered following pericardiocentesis and coronary angioplasty. We suggest a possible link between the 2 pathologies, whereby post-surgical pericarditis led to tamponade which decreased cardiac preload and resulted in systemic hypotension. Decreased coronary perfusion pressure and extrinsic compression by fluid in the pericardial space may have contributed to graft occlusion. Pericarditis and pericardial tamponade may therefore be risk factors for coronary bypass graft occlusion.

journal_name

Int J Cardiol

journal_title

International journal of cardiology

authors

Jaffe R,Halon DA,Rubinshtein R,Lewis BS

doi

10.1016/j.ijcard.2006.02.005

subject

Has Abstract

pub_date

2007-02-14 00:00:00

pages

422-4

issue

3

eissn

0167-5273

issn

1874-1754

pii

S0167-5273(06)00385-8

journal_volume

115

pub_type

信件

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