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2.
JCPSP-Journal of the College of Physicians and Surgeons Pakistan. 2009; 19 (10): 655-657
em Inglês | IMEMR | ID: emr-102620

RESUMO

Reperfusion injury is thought to occur during coronary recanalisation but rarely produces clinically significant effects other than arrhythmia. We report an unusual case of Ventricular Septal Defect [VSD] developing after successful disobliteration of the right coronary artery. In this case clinical, electrocardiographic and biochemical evidence of myocardial injury developed 6 hours after successful percutaneous recanalization of the infarct related artery. A rapidly developing VSD soon became apparent necessitating surgical intervention to repair the defect. Unfortunately the patient died soon after surgery


Assuntos
Humanos , Masculino , Comunicação Interventricular/etiologia , Infarto do Miocárdio , Doença da Artéria Coronariana , Stents/efeitos adversos , Eletrocardiografia
3.
JCPSP-Journal of the College of Physicians and Surgeons Pakistan. 2009; 19 (7): 444-446
em Inglês | IMEMR | ID: emr-103320

RESUMO

It is an unusual case of bilateral tension pneumothoraces developing in the postoperative period in a patient who underwent total arterial revascularization for two vessel coronary artery disease. The patient had been a previous heavy smoker and at operation had been noted to have thin walled lung parenchyma with multiple small bullae mainly in the left upper lobe. He suddenly developed bilateral pneumothoraces following intermittent continuous positive airway pressure requiring initially bilateral needle decompression followed by chest drain insertion. He recovered well and the air leak sealed after 3 days


Assuntos
Humanos , Masculino , Ponte de Artéria Coronária , Enfisema Subcutâneo , Cirurgia Torácica , Pulmão/patologia
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