Spontaneous coronary artery rupture treated on a beating heart

Kim, Kyung H.

doi:10.1111/jocs.14262

Cited by 2 publications

(1 citation statement)

References 5 publications

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“…If the patient is hemodynamically stable, ECG-gated coronary CTA may be a viable option for detecting coronary rupture and ruling out other causes of pericardial effusion. However, patients in critical conditions who cannot tolerate these examinations need emergent surgery for the diagnosis and treatment ( 1 , 8 , 10 , 12 , 14 , 17 ).…”

Section: Discussionmentioning

confidence: 99%

Sudden Cardiac Arrest Due to Spontaneous Coronary Artery Rupture - A Case Report with a Diagnostic Challenge -

et al. 2022

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Spontaneous coronary artery rupture (SCAR) is a rare, life-threatening disease, and the diagnosis is often challenging. We herein report a 70-year-old man who suffered sudden cardiac arrest due to SCAR with pericardial fluid. At first, emergent coronary angiography (CAG) failed to detect abnormalities. The emergent operation revealed that the presence of pericardial fluid was caused by bleeding that had spontaneously occurred at the left circumflex artery (LCx). A careful retrospective CAG review showed slight contrast spillage from the distal LCx. SCAR should be suspected in patients with unknown etiology of pericardial effusion, and careful inspection of CAG is necessary.

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Section: Discussionmentioning

confidence: 99%

Sudden Cardiac Arrest Due to Spontaneous Coronary Artery Rupture - A Case Report with a Diagnostic Challenge -

et al. 2022

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Case Report: Hematoma Formation After Spontaneous Coronary Artery Rupture

Liang

Yue

Zhang

et al. 2022

Front. Cardiovasc. Med.

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We report a case of hematoma formation in the right coronary artery after spontaneous rupture. A 48-year-old female patient was admitted with a suspected right cardiac mass. Despite diagnostic work-up, the dignity of the mass could not be determined. Due to acute clinical symptoms, explorative surgery was decided and performed. Hereby, the mass was partially incised, and thrombus-like tissue was detected without active bleeding. We described the challenges during the diagnostic process, and the diagnosis was finally made according to a multimodality approach. For further assessment, we reviewed related literature and highlighted the importance of coronary angiography in the preoperative evaluation of such patients. The therapy may vary according to the location and size of such lesions.

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Spontaneous coronary artery rupture treated on a beating heart

Cited by 2 publications

References 5 publications

Sudden Cardiac Arrest Due to Spontaneous Coronary Artery Rupture - A Case Report with a Diagnostic Challenge -

Sudden Cardiac Arrest Due to Spontaneous Coronary Artery Rupture - A Case Report with a Diagnostic Challenge -

Case Report: Hematoma Formation After Spontaneous Coronary Artery Rupture

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