WJCD  Vol.3 No.5 , August 2013
Unusual treatment of postoperative bleeding after cardiac surgery
ABSTRACT
A young patient was presented to the emergency department with chest pain and palpitations. A transthoracic echocardiogram showed a right atrial mass. Coronary angiography showed a right coronary artery with collateral circulation to a large mass. The tumor could only be partially resected and the patient experienced persistent postoperative bleeding. We performed a new right coronary artery angiography which showed an important free extravasation of contrast into the pericardium through the collateral circulation. Using covered stents, the bleeding was controlled. The pathological examination performed later revealed a primary cardiac angiosarcoma. After asymptom-free survival of 14 months the patient presented bone metastases.

Cite this paper
Rubio-Alvarez, J. , Sierra-Quiroga, J. , Adrio-Nazar, B. , López, L. , Bauza, Á. , Taboada, C. and Martinez-Cereijo, J. (2013) Unusual treatment of postoperative bleeding after cardiac surgery. World Journal of Cardiovascular Diseases, 3, 377-379. doi: 10.4236/wjcd.2013.35058.
References
[1]   Reardon, M.J. and Smythe, W.R. (2003) Cardiac Neoplasms. In: Cohn, L.H. and Edmunds, Jr. L.H., Eds., Cardiac Surgery in the Adult, McGraw-Hill, New York, 1373-1400.

[2]   Rogers, J.H. and Lasala, J.M. (2004) Coronary artery dissection and perforation complicating percutaneous coronary intervention. Journal of Invasive Cardiology, 16, 493-499.

[3]   McAllister, H.A. and Fenoglio, J.J. (1978) Tumors of the cardiovascular system. In: Hartmann, W.H. Ed., Atlas of Tumor Pathology, 2nd Series, Fascicle 15, Armed Forces Institute of Pathology, Washington DC, 81.

[4]   Young, R.J., Brown, N.J., Reed, M.W., Hughes, D. and Woll, P.J. (2010) Angiosarcoma. The Lancet Oncology, 11, 983-991. doi:10.1016/S1470-2045(10)70023-1

[5]   Briguori, C., Nishida, T., Anzuini, A., Di Mario, C., Grube, E. and Colombo, A. (2000) Emergency polytetrafluoethylene-covered stent implantation to treat coronary ruptures. Circulation, 102, 3028-3031. doi:10.1161/01.CIR.102.25.3028

 
 
Top