Acquired transdiaphragmatic hernia: an unusual cause of cardiac tamponade

2017 ◽  
Vol 25 (3) ◽  
pp. 233-236 ◽  
Author(s):  
Virginie D’Orio ◽  
Pierre Demondion ◽  
Guillaume Lebreton ◽  
Guillaume Coutance ◽  
Sheida Varnous ◽  
...  
Keyword(s):  
Coronary Artery ◽  
Cardiac Tamponade ◽  
Rare Complication ◽  
Artery Bypass ◽  
Exceptional Case ◽  
Bypass Grafting ◽  
Clinical Presentations ◽  
Small Bowel Strangulation ◽  
Pacemaker Insertion ◽  
Bowel Strangulation

Transdiaphragmatic peritoneopericardial hernia is a rare complication after peritoneopericardial window formation, coronary artery bypass grafting using the gastroepiploic artery, or subxiphoid epicardial pacemaker insertion. We describe two different clinical presentations of transdiaphragmatic peritoneopericardial hernia in patients who had undergone recent heart transplantation. One was an exceptional case of cardiac tamponade caused by small bowel strangulation through a diaphragmatic defect.

scholarly journals Rare Cause of Late Recurrent Angina following Coronary Artery Bypass Grafting: Iatrogenic Aortocoronary Arteriovenous Fistula Causing Coronary Steal

2018 ◽  
Vol 2018 ◽  
pp. 1-3
Author(s):  
Jayakumar Sreenivasan ◽  
Muhammad Ayub ◽  
Neha Yadav ◽  
Yasmeen Golzar
Keyword(s):  
Coronary Artery ◽  
Coronary Artery Bypass Grafting ◽  
Arteriovenous Fistula ◽  
Coronary Artery Bypass ◽  
Left Internal Mammary Artery ◽  
Rare Complication ◽  
Artery Bypass ◽  
Bypass Grafting ◽  
Artery Bypass Grafting ◽  
Recurrent Angina

Iatrogenic aortocoronary arteriovenous fistula is a very rare complication of coronary artery bypass grafting in which one of the arterial grafts inadvertently forms a fistulous tract with a cardiac vein, shunting blood from the anastomosed coronary artery. We report a patient with an iatrogenic left internal mammary artery graft to cardiac vein fistula presenting with recurrent angina three years after a three-vessel coronary artery bypass grafting.

scholarly journals Acute Lower Leg Compartment Syndrome: A Rare Complication following CABG

2016 ◽  
Vol 2016 ◽  
pp. 1-2 ◽  
Author(s):  
Muazzam Tahir ◽  
Sean Galvin
Keyword(s):  
Coronary Artery ◽  
Coronary Artery Bypass Grafting ◽  
Compartment Syndrome ◽  
Early Recognition ◽  
Rare Complication ◽  
Artery Bypass ◽  
Lower Leg ◽  
Bypass Grafting ◽  
Systemic Factors

Compartment syndrome of lower legs following coronary artery bypass grafting is a rare complication which results from a combination of local and systemic factors. Early recognition is vital for good outcome. The case discussed describes this rare complication of CABG resulting in long term disability.

scholarly journals Iatrogenic Mitral Valve Perforation following CABG and Aortic Valve Replacement: A Rare Complication detected by Post-bypass Transesophageal Echocardiography

2014 ◽  
Vol 2 (2) ◽  
pp. 75-76 ◽  
Author(s):  
Sarin Mathew ◽  
Ravi Raj
Keyword(s):  
Coronary Artery ◽  
Mitral Valve ◽  
Aortic Valve ◽  
Aortic Valve Replacement ◽  
Transesophageal Echocardiography ◽  
Valve Replacement ◽  
Rare Complication ◽  
Artery Bypass ◽  
Bypass Grafting ◽  
Mitral Leaflet

ABSTRACT Iatrogenic mitral valve perforation following aortic valve replacement is a rare complication. We present a case of anterior mitral leaflet perforation following coronary artery bypass grafting (CABG) and aortic valve replacement detected by intraoperative transesophageal echocardiography (TEE). A 57-year-old male patient with preoperative diagnosis of coronary artery disease, sclerodegenerative aortic valve with severe aortic stenosis and mild central mitral regurgitation (MR) underwent CABG and aortic valve replacement. A post bypass TEE in midesophageal long axis view showed an additional MR jet across the body of the anterior mitral leaflet. We present intraoperative TEE images with a discussion on role of TEE in detection of mitral valve perforation and surgical decision making. Abbreviations AVR: Aortic valve replacement C ABG: Coronary artery bypass grafting 2D: Two-dimensional MR: Mitral regurgitation TEE: Transesophageal echocardiography TTE: Transthoracic echocardiography How to cite this article Raj R, Mathew S, Puri GD. Iatrogenic Mitral Valve Perforation following CABG and Aortic Valve Replacement: A Rare Complication detected by Post-bypass Transesophageal Echocardiography. J Perioper Echocardiogr 2014;2(2):75-76.

Syphilitic Aortitis Causing Bilateral Coronary Ostial Stenosis

2011 ◽  
Vol 14 (1) ◽  
pp. 59 ◽  
Author(s):  
Soh Hosoba ◽  
Tomoaki Suzuki ◽  
Yusuke Koizumi ◽  
Tohru Asai
Keyword(s):  
Coronary Artery ◽  
Left Main Coronary Artery ◽  
Rare Complication ◽  
Artery Bypass ◽  
Coronary Vessels ◽  
Bypass Grafting ◽  
Coronary Risk Factors ◽  
Left Main ◽  
Coronary Ostial Stenosis ◽  
Syphilitic Aortitis

Coronary ostial stenosis in otherwise normal coronary vessels is a rare complication of syphilitic aortitis. A 47-year-old man with no coronary risk factors developed severe isolated ostial stenosis in the left main coronary artery and right coronary artery. He underwent coronary artery bypass grafting using the bilateral internal thoracic arteries and gastroepiploic artery and recovered uneventfully.

scholarly journals Omental Herniation: A Rare Complication of Vacuum-Assisted Closure of Infected Sternotomy Wound

2012 ◽  
Vol 2012 ◽  
pp. 1-3
Author(s):  
Philemon Gukop ◽  
Madhan Kumar Kuppuswamy ◽  
Antonios Kourliouros ◽  
Venkatachalam Chandrasekaran
Keyword(s):  
Coronary Artery ◽  
Coronary Artery Bypass Grafting ◽  
Rare Complication ◽  
Artery Bypass ◽  
Bypass Grafting ◽  
Wound Infections ◽  
Sternal Wound Infection ◽  
Vacuum Assisted Closure ◽  
First Case ◽  
Omental Herniation

Vacuum-assisted closure (VAC) has recently been adopted as an acceptable modality for management of sternotomy wound infections. Although generally efficacious, the use of negative pressure devices has been associated with complications such as bleeding, retention of sponge, and empyema. We report the first case of greater omental hernia as a rare complication of vacuum-assisted closure of sternal wound infection following coronary artery bypass grafting.

Sudden, severe bilateral vision loss after coronary artery bypass grafting

2021 ◽  
Vol 14 (8) ◽  
pp. e243754
Author(s):  
Marko Popovic ◽  
Laura Donaldson ◽  
Edward A Margolin
Keyword(s):  
Coronary Artery ◽  
Coronary Artery Bypass Grafting ◽  
Coronary Artery Bypass ◽  
Vision Loss ◽  
Rare Complication ◽  
Artery Bypass ◽  
Occipital Lobe ◽  
Bypass Grafting ◽  
Ophthalmological Examination ◽  
Artery Bypass Grafting

We describe a rare complication of coronary artery bypass grafting (CABG) in a young man who presented with sudden, severe, bilateral visual loss after surgery. His ophthalmological examination was non-revealing; however, MRI of the brain revealed bilateral occipital lobe infarction. His infarction was presumed to be secondary to emboli arising from surgical manipulation within the atherosclerotic ascending aorta or from a cardiogenic thrombus formed due to perioperative arrhythmia.

scholarly journals Kinked coronary saphenous vein graft after aortic dissection surgery: An unusual differential diagnosis of cardiac tamponade

2021 ◽  
Vol 22 (2) ◽  
pp. 21-28
Author(s):  
Kaushalendra Rathore ◽  
Mark Teh ◽  
Mark Newman
Keyword(s):  
Differential Diagnosis ◽  
Coronary Artery ◽  
Coronary Artery Bypass Grafting ◽  
Aortic Dissection ◽  
Cardiac Tamponade ◽  
Saphenous Vein Graft ◽  
Artery Bypass ◽  
Bypass Grafting ◽  
Type A Aortic Dissection ◽  
Postoperative Course

A 73-year-old female patient presented with cardiac tamponade following Stanford type A aortic dissection required immediate pericardiocentesis and followed by root replacement with coronary artery bypass grafting. The patient's postoperative course was eventful and coronary graft kinking contributed to myocardial ischemia, but the presentation was confused with cardiac tamponade.

Surgical Removal of Guidewire Entrapped Within Stent Struts During Percutaneous Coronary Angioplasty

2015 ◽  
Vol 18 (3) ◽  
pp. 106
Author(s):  
Onk Oruc Alper ◽  
Aksüt Mehmet ◽  
Bakirci Eftal Murat ◽  
Ekren Halil ◽  
Erkut Bilgehan
Keyword(s):  
Coronary Artery ◽  
Coronary Angioplasty ◽  
Rare Complication ◽  
Artery Bypass ◽  
Surgical Removal ◽  
Bypass Grafting ◽  
Coronary Artery Lesions ◽  
Percutaneous Coronary Angioplasty ◽  
Surgical Exploration ◽  
Percutaneous Coronary

There has been a growing trend toward percutaneous coronary angioplasty for complex coronary artery lesions. Stent or guidewire break off or trapping within the coronary artery lumen is a rare complication, but it may have fatal consequences. In such cases, the entrapped device may be removed by either percutaneous route or surgical exploration. Here, we report a patient with guidewire entrapment within the struts of the intracoronary stent during primary percutaneous coronary angioplasty, which necessitated surgical removal and subsequent coronary artery bypass grafting (CABG).

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