Post-Sternotomy Hemorrhage due to Left Internal Thoracic Artery Pseudoaneurysm

We describe a case of pseudoaneurysm of the internal thoracic artery, which was probably caused by infection. Four weeks after aortic valve replacement and coronary artery bypass surgery, an 84-year-old woman suddenly developed painful sternal instability and hypotension, with active hemorrhage from a left parasternal swelling. Selective arteriography revealed a pseudoaneurysm of the left internal thoracic artery. It was surgically excised, and the patient recovered uneventfully.

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Use of nitroglycerin and verapamil solution by organ bath technique in preparation of left internal thoracic artery for coronary artery bypass surgery

Indian Heart Journal ◽

10.1016/j.ihj.2017.04.004 ◽

2017 ◽

Vol 69 (6) ◽

pp. 772-776

Author(s):

Chandan Kumar Ray Mohapatra ◽

Prashant Mishra ◽

Pankaj Saxena ◽

Chaitanya Raut ◽

Jayant Khandekar ◽

...

Keyword(s):

Coronary Artery ◽

Coronary Artery Bypass ◽

Coronary Artery Bypass Surgery ◽

Bypass Surgery ◽

Internal Thoracic Artery ◽

Artery Bypass ◽

Organ Bath ◽

Left Internal Thoracic Artery

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Functional integrity and aging of the left internal thoracic artery after coronary artery bypass surgery

Journal of Thoracic and Cardiovascular Surgery ◽

10.1067/mtc.2000.106839 ◽

2000 ◽

Vol 120 (2) ◽

pp. 313-318 ◽

Cited By ~ 7

Author(s):

Giovanni Amoroso ◽

René A. Tio ◽

Massimo A. Mariani ◽

Adrianus J. van Boven ◽

Gillian A.J. Jessurun ◽

...

Keyword(s):

Coronary Artery ◽

Coronary Artery Bypass ◽

Coronary Artery Bypass Surgery ◽

Bypass Surgery ◽

Internal Thoracic Artery ◽

Artery Bypass ◽

Left Internal Thoracic Artery ◽

Functional Integrity

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Comparison of Complications in Elderly Patients Undergoing Coronary Artery Bypass Surgery with or without Use of the Left Internal Thoracic Artery

Kosuyolu Kalp Dergisi ◽

10.4274/khj.55707 ◽

2014 ◽

Vol 17 (2) ◽

pp. 118-123

Author(s):

Mustafa Aldemir ◽

Devrim Eroğlu ◽

Fahri Adalı ◽

Mustafa Emmiler

Keyword(s):

Coronary Artery ◽

Elderly Patients ◽

Coronary Artery Bypass ◽

Coronary Artery Bypass Surgery ◽

Bypass Surgery ◽

Internal Thoracic Artery ◽

Artery Bypass ◽

Left Internal Thoracic Artery

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Bilateral internal thoracic artery versus left internal thoracic artery and saphenous vein grafting in coronary artery bypass surgery

European Journal of Cardio-Thoracic Surgery ◽

10.1093/ejcts/ezz263 ◽

2019 ◽

Cited By ~ 1

Author(s):

José Glauco Lobo Filho ◽

Heraldo Guedis Lobo Filho ◽

Matheus Duarte Pimentel

Keyword(s):

Coronary Artery ◽

Coronary Artery Bypass ◽

Saphenous Vein ◽

Coronary Artery Bypass Surgery ◽

Bypass Surgery ◽

Internal Thoracic Artery ◽

Artery Bypass ◽

Left Internal Thoracic Artery ◽

Bilateral Internal Thoracic Artery

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Chylothorax as a complication of harvesting the left internal thoracic artery in coronary artery bypass surgery

European Journal of Cardio-Thoracic Surgery ◽

10.1016/1010-7940(93)90057-i ◽

1993 ◽

Vol 7 (10) ◽

pp. 555-556 ◽

Cited By ~ 7

Author(s):

A BOGERS ◽

W PARDIJS ◽

L VANHERWERDEN ◽

E BOS

Keyword(s):

Coronary Artery ◽

Coronary Artery Bypass ◽

Coronary Artery Bypass Surgery ◽

Bypass Surgery ◽

Internal Thoracic Artery ◽

Artery Bypass ◽

Left Internal Thoracic Artery

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A case of coronary artery bypass surgery using left internal thoracic artery and right gastroepiploic artery for a patient with essential thrombocythemia

The Japanese Journal of Thoracic and Cardiovascular Surgery ◽

10.1007/bf03217818 ◽

1998 ◽

Vol 46 (8) ◽

pp. 767-771 ◽

Cited By ~ 5

Author(s):

Toshiaki Ohto ◽

Hideshige Shihara ◽

Yoshimasa Miyauchi ◽

Nobuyuki Nakajima

Keyword(s):

Coronary Artery ◽

Coronary Artery Bypass ◽

Essential Thrombocythemia ◽

Coronary Artery Bypass Surgery ◽

Bypass Surgery ◽

Internal Thoracic Artery ◽

Artery Bypass ◽

Gastroepiploic Artery ◽

Left Internal Thoracic Artery ◽

Right Gastroepiploic Artery

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Skeletonized Internal Thoracic Artery Harvest Reduces Pain and Dysesthesia and Improves Sternal Perfusion After Coronary Artery Bypass Surgery: A Randomized, Double-Blind, Within-Patient Comparison

Yearbook of Anesthesiology and Pain Management ◽

10.1016/s1073-5437(08)70063-9 ◽

2007 ◽

Vol 2007 ◽

pp. 63-64

Author(s):

G.P. Gravlee

Keyword(s):

Coronary Artery ◽

Coronary Artery Bypass ◽

Coronary Artery Bypass Surgery ◽

Bypass Surgery ◽

Internal Thoracic Artery ◽

Artery Bypass ◽

Double Blind

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Surgical management of a patient with combined heart pathologies and lung cancer. A simultaneous coronary artery bypass surgery, aortic valve replacement, tricuspid valve repair and pulmonary resection

Cor et Vasa ◽

10.1016/j.crvasa.2013.07.007 ◽

2014 ◽

Vol 56 (1) ◽

pp. e75-e79 ◽

Cited By ~ 1

Author(s):

František Sabol ◽

Tomáš Toporcer ◽

Adrián Kolesár ◽

Jozef Belák ◽

Ján Luczy

Keyword(s):

Lung Cancer ◽

Coronary Artery ◽

Aortic Valve ◽

Aortic Valve Replacement ◽

Coronary Artery Bypass Surgery ◽

Bypass Surgery ◽

Pulmonary Resection ◽

Artery Bypass ◽

Tricuspid Valve Repair ◽

Valve Repair

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Remote ischaemic preconditioning in isolated aortic valve and coronary artery bypass surgery: a randomized trial†

European Journal of Cardio-Thoracic Surgery ◽

10.1093/ejcts/ezy404 ◽

2018 ◽

Vol 55 (5) ◽

pp. 905-912 ◽

Cited By ~ 2

Author(s):

Marco Moscarelli ◽

Francesca Fiorentino ◽

M-Saadeh Suleiman ◽

Costanza Emanueli ◽

Barnaby C Reeves ◽

...

Keyword(s):

Coronary Artery ◽

Aortic Valve ◽

Randomized Trial ◽

Coronary Artery Bypass ◽

Coronary Artery Bypass Surgery ◽

Bypass Surgery ◽

Artery Bypass ◽

Ischaemic Preconditioning ◽

Remote Ischaemic Preconditioning

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Chylopericardium following aortic valve replacement and coronary artery bypass surgery: a case report and discussion

American Journal of Critical Care ◽

10.4037/ajcc1994.3.4.313 ◽

1994 ◽

Vol 3 (4) ◽

pp. 313-315

Author(s):

M Schactman ◽

C Scott ◽

DR Glibbery-Fiesel ◽

M Murello ◽

P Kerr

Keyword(s):

Cardiac Surgery ◽

Case Report ◽

Coronary Artery ◽

Aortic Valve ◽

Aortic Valve Replacement ◽

Coronary Artery Bypass ◽

Valve Replacement ◽

Coronary Artery Bypass Surgery ◽

Bypass Surgery ◽

Artery Bypass

The incidence of chylopericardium after cardiac surgery is unusual, but there are documented cases. Those caring for these patients need to be aware of the symptoms and management of chylopericardium because, if left untreated, it may cause catastrophic consequences.

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