Angina Research Today is a free monthly online journal that collates and summarizes the latest research about Angina, including details on symptoms, treatment, causes, prevention, surgery.

"Off-pump" repair of a postangioplasty coronary artery bleed.

Devey LR, Shaw TR, Zamvar V

Department of Cardiothoracic Surgery, Royal Infirmary of Edinburgh, Little France Crescent, Edinburgh. devey@doctors.org.uk

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.

Published 27 April 2005 in J Card Surg, 20(3): 281-3.
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