Rare Bleeding Complication of the Radial Artery Conduit after Coronary Artery Bypass Grafting with Endoscopic Harvesting
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概要
- 論文の詳細を見る
A 79-year-old man with unstable angina developed localized left atrial tamponade after conventional coronary artery bypass grafting (CABG) with endoscopic radial artery harvesting (ERAH). Hemodynamic instability developed several hours after the systemic heparinization. Transthoracic and later intraoperative transesophageal echocardiography revealed a large, isolated hematoma compressing the left atrium. The radial artery for the circumflex artery bled during an emergent re-sternotomy. Incomplete hemostasis of the radial artery by ERAH was the likely cause of this serious complication. Surgeons, especially those who are new to ERAH, should examine the harvested radial arterial conduit carefully and confirm complete hemostasis before performing the procedure.
- 2011-04-01
著者
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Sakata Ryuzo
Department Of Cardiovascular Surgery Graduate School Of Medicine Kyoto University
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Ueno Masahiro
Department Of Cardiovascular Surgery Kagoshima University Graduate School Of Medical And Dental Scie
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Sakata Ryuzo
Second Department Of Surgery Kagoshima University Faculty Of Medicine
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Higashi Akihiro
Department Of Thoracic Cardiovascular And Hepatobiliary-pancreatic Surgery Kagoshima University Grad
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Higashi Akihiro
Department Of Cardiovascular Surgery Kagoshima University Hospital
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Sakata Ryuzo
Department Of Thoracic And Cardiovascular Surgery Kagoshima University Graduate School Of Medicine A
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Sakata Ryuzo
Department Of Cardiovascular Surgery Division Of Bioinformatics And Chemical Genomics Graduate Schoo
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Higashi Akihiro
Department of Cardiology, Dokkyo University Koshigaya Hospital
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