Management of Traumatic Coronary Artery Injuries: Advantages of Off-Pump Coronary Artery Bypass

Atkins, B. Zane; Salomone, Jeffrey P.; Anuradha, S; Burke, J.; Vercruysse, Gary

doi:10.1007/s00068-009-9063-7

Cited by 5 publications

(5 citation statements)

References 25 publications

(37 reference statements)

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“…Penetrating chest trauma can lead to cardiac rupture 1 . LADA is the most commonly injured artery 2 . Heart injury might be complex, even in follow‐up.…”

Section: Discussionmentioning

confidence: 99%

Myocardial infarction following repair of a ruptured heart

Vakili

Taherpour

2021

Clinical Case Reports

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The patient was a 40-year-old man who suffered from penetrating heart trauma two days before being referred to us. He had undergone repair of tearing at a hospital outside the city. He was still complaining of chest pain. Q-wave and ST elevation in v1-v3 were seen. He was referred with suspicion of damage to left anterior descending artery (LADA).Vital signs were stable. Echocardiography revealed anteroseptal akinesia with left ventricular ejection fraction (LVEF)30%. In angiography, LADA was cutoff at mid-part. Any attempt at angioplasty was unsuccessful(Figure 1). Assuming the artery was ligated during repair and due to the fact the patient was stable, we decided to follow him, so discharged him in good condition after three weeks.Two months later, he complained of chest pain. Echocardiography revealed LVEF 50%. According to angiography (Figure 2), he became a candidate for bypass surgery. The surgeon had reported ligation of LADA by some sutures during previous repair. After a week, he was discharged in good condition. | DISCUSSIONPenetrating chest trauma can lead to cardiac rupture. 1 LADA is the most commonly injured artery. 2 Heart injury might be complex, even in follow-up. Any emergency repair might have consequences, such as ligating of an artery, especially in non-equipped facilities.

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“…Penetrating chest trauma can lead to cardiac rupture 1 . LADA is the most commonly injured artery 2 . Heart injury might be complex, even in follow‐up.…”

Section: Discussionmentioning

confidence: 99%

Myocardial infarction following repair of a ruptured heart

Vakili

Taherpour

2021

Clinical Case Reports

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“…Recently, off-pump coronary artery bypass grafting (OPCAB) techniques has been applied to this injury with considerable success. 10–12 Reported world experience in OPCAB to manage traumatic coronary artery injuries was published by Moore et al 12 …”

Section: Discussionmentioning

confidence: 99%

Delayed revascularization following complete transection of left anterior descending artery after a stab wound

Šantavý

Steriovský

Lonský

2015

International Journal of Surgery Case Reports

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HighlightsComplete coronary artery transection after a stab wound is survivable.At even slight suspicion, surgical exploration of pericardial sac and heart is always strongly justified.Off-pump coronary artery by-pass is a safe alternative for transected artery treatment.Examination and treatment of cardiac injuries in facility with “heart team” and cardiac surgical expertise is always strongly recommended.

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“…Bypass can then proceed with a single 6–0 or 7–0 polypropylene suture on a fine taper point needle. The left internal mammary artery is often considered the first choice for aortocoronary bypass grafting, despite its poor patency rates during episodes of vascular spasm in an unstable patient [ 48 ]. Likewise, use of this vessel is also limited when CPB is instituted through a clamshell incision which transects the artery.…”

Section: Cardiac Repairmentioning

confidence: 99%