Life‐threatening Complication of Minimally Invasive Coronary Artery Bypass Grafting

Irving, Carol; Gould, Michael; Shih, Richard D.

doi:10.1111/j.1553-2712.1998.tb02496.x

Cited by 3 publications

(6 citation statements)

References 5 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…To our knowledge, only six other cases of rupture of the LIMA's pedicle after MIDCAB have been reported in the literature (Lazzara et al, 1997;Irving et al, 1998;Hirose et al, 1999;Ricci et al, 2000;Radermecker et al, 2001;Asherson et al, 2006). On only one occasion did the complication lead to the death of the patient (Lazzara et al, 1997).…”

Section: Discussionmentioning

confidence: 96%

“…In some cases the traction can be produced by an interaction between the LIMA and the pericardial edge or by an adhesion of the graft to the chest wall or to the lungs (Irving et al, 1998;Ricci et al, 2000).…”

Section: Discussionmentioning

confidence: 99%

“…Physical exertion, possibly through hyperinflation of the lungs, causing anterior displacement of the mediastinum and tachycardia, is generally associated with the rupture (McMahon et al, 1997;Irving et al, 1998;Radermecker et al, 2001).…”

Section: Discussionmentioning

confidence: 99%

“…MIDCAB, performed through a left anterior mini-thoracotomy without the use of cardiopulmonary bypass, offers the potential for more rapid recovery, reduced pain and a decreased need for blood transfusion than conventional CABG (Benetti and Ballester, 1995;Subramanian and Patel, 2001). However, concerns have been raised regarding the integrity of the coronary anastomosis performed through a limited access on a beating heart and the possibility of early occlusion of left LIMA graft (Ancalmo and Busby, 1997;Machiraju, 1997;Irving et al, 1998;Amano et al, 2001).…”

Section: Introductionmentioning

confidence: 99%

“…Few major complications of MIDCAB procedures have been reported in the literature since the first intervention was performed in 1995 (Benetti and Ballester, 1995) but the most serious one is avulsion of the LIMA graft near the site of anastomosis with the LAD (Lazzara et al, 1997;Machiraju, 1997;McMahon et al, 1997;Irving et al, 1998). Early diagnosis with fast re-operation have meant that in only one of the reported cases has the avulsion led to the death of a patient (Lazzara et al, 1997).…”

Section: Introductionmentioning

confidence: 99%

See 4 more Smart Citations

Avulsion of the left internal mammary artery graft after minimally invasive coronary surgery: fatal complication or medical error?

Viel

Balmaceda²,

Sperhake³

2009

Med Sci Law

View full text Add to dashboard Cite

Minimally invasive direct coronary artery bypass (MIDCAB) is performed through a left anterior mini-thoracotomy without the use of a cardiopulmonary bypass and offers greater potential for more rapid recovery, reduced pain and a decreased need for blood transfusion than conventional coronary artery bypass grafting. Few major complications of the MIDCAB procedure have been reported in the literature since the first intervention was performed in 1995, but the most serious one is avulsion of the left internal mammary artery (LIMA) graft near the site of anastomosis with the left anterior descending coronary artery. Forensic issues regarding the role of the surgeon in causing this life-threatening emergency condition have not been discussed. We report here the case of a 48-year-old man who died 18 days after a MIDCAB of massive thoracic bleeding due to the avulsion of the LIMA graft. We discuss the probable etiopathogenesis of this fatal complication from a forensic point of view.

show abstract

Section: Discussionmentioning

confidence: 96%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

See 3 more Smart Citations

Avulsion of the left internal mammary artery graft after minimally invasive coronary surgery: fatal complication or medical error?

Viel

Balmaceda²,

Sperhake³

2009

Med Sci Law

View full text Add to dashboard Cite

show abstract

Ruptur der A. thoracica interna 6 Wochen nach MIDCAB-Operation

et al. 2008

View full text Add to dashboard Cite

The minimally invasive coronary bypass operation is a procedure that has been firmly established in cardiac surgery for several years now. Only a few reports exist regarding the complications of this procedure. This case study reports on a 51-year-old man who collapsed 27 days after a left-sided internal mammary artery bypass on the anterior interventricular artery, when the bypass vessel ruptured. After pericardial puncture and cardiopulmonary resuscitation the patient was transported via air ambulance to a cardio-surgical center where he was successfully operated upon.

show abstract