TITLE:
Cardiogenic Shock Caused by a Large Sub-Epicardial Hematoma Complicating Percutaneous Coronary Intervention
AUTHORS:
Yoshiharu Higuchi, Daisuke Fukamachi, Nobuyuki Fujii, Toshihiko Nishida, Atsushi Hirayama
KEYWORDS:
Sub-Epicardial Hematoma, Cardiac Tamponade, Percutaneous Coronary Intervention, Coronary Artery Bypass Grafting
JOURNAL NAME:
Case Reports in Clinical Medicine,
Vol.4 No.6,
June
15,
2015
ABSTRACT: A 56-year-old man with a history of old myocardial infarction and coronary artery bypass grafting was performed percutaneous coronary intervention to the totally occluded lesion of native left anterior descending artery. He developed a coronary arterial perforation that led to a large dissecting sub-epicardial hematoma. Emergent surgery was performed, and a large hematoma was removed from the sub-epicardial space. Continuous drainage of blood was observed after surgery, and the patient died due to the development of multiorgan dysfunction. An autopsy revealed an extensive sub-epicardial hematoma on the lateral wall of the left ventricle and broad necrosis of the myocardium in the lateral wall.