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Right ventricular injury and pulmonary embolism: The perils of deep intramyocardial left anterior descending artery dissection in off-pump coronary artery bypass grafting


1 Department of Cardiothoracic Surgery, NH Rabindranath Tagore International Institute of Cardiac Sciences, Mukundapur, Kolkata, India
2 Department of Cardiac Anaesthesiology, NH Rabindranath Tagore International Institute of Cardiac Sciences, Mukundapur, Kolkata, India

Correspondence Address:
Biswarup Purkayastha
NH Rabindranath Tagore International, Institute of Cardiac Sciences, 124, Mukundapur - 700 099, Kolkata
India
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/aca.ACA_49_19

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Year : 2021  |  Volume : 24  |  Issue : 1  |  Page : 99-101

 

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An inadvertent vent in the right ventricle (RV) resulted during dissection of a deep intramyocardial left anterior descending coronary artery (LAD), during off-pump coronary artery bypass grafting (OPCAB), led to pulmonary artery air embolism and hemodynamic instability, requiring conversion to cardiopulmonary bypass (CPB) prior to repair. This required a special maneuver in positioning the patient to identify the RV injury and prevent the pulmonary air embolism.






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1 Department of Cardiothoracic Surgery, NH Rabindranath Tagore International Institute of Cardiac Sciences, Mukundapur, Kolkata, India
2 Department of Cardiac Anaesthesiology, NH Rabindranath Tagore International Institute of Cardiac Sciences, Mukundapur, Kolkata, India

Correspondence Address:
Biswarup Purkayastha
NH Rabindranath Tagore International, Institute of Cardiac Sciences, 124, Mukundapur - 700 099, Kolkata
India
Login to access the Email id

Source of Support: None, Conflict of Interest: None


DOI: 10.4103/aca.ACA_49_19

Rights and Permissions

An inadvertent vent in the right ventricle (RV) resulted during dissection of a deep intramyocardial left anterior descending coronary artery (LAD), during off-pump coronary artery bypass grafting (OPCAB), led to pulmonary artery air embolism and hemodynamic instability, requiring conversion to cardiopulmonary bypass (CPB) prior to repair. This required a special maneuver in positioning the patient to identify the RV injury and prevent the pulmonary air embolism.






[FULL TEXT] [PDF]*


        
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