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1.
Arch Mal Coeur Vaiss ; 98(10): 1022-5, 2005 Oct.
Article in French | MEDLINE | ID: mdl-16294550

ABSTRACT

Latrogenic fistula between the aorta and coronary vein is a rare complication of coronary bypass surgery due to accidental venous or arterial graft onto a coronary vein. The authors report a case of a patient admitted to hospital 2 months after coronary bypass surgery for cardiac failure due to a iatrogenic fistula by implantation of the left internal mammary artery on the great coronary vein. This presentation led to the choice of percutaneous embolisation of the fistula by the release of 6 coils. Based on a review of the literature, this clinical case illustrates the feasibility and value of percutaneous embolisation of iatrogenic fistulae.


Subject(s)
Coronary Artery Bypass/adverse effects , Coronary Vessels , Embolization, Therapeutic/adverse effects , Fistula/therapy , Mammary Arteries , Aged , Coronary Vessels/surgery , Female , Humans , Iatrogenic Disease , Mammary Arteries/surgery
2.
Ann Cardiol Angeiol (Paris) ; 53(2): 109-13, 2004 Mar.
Article in French | MEDLINE | ID: mdl-15222245

ABSTRACT

A 25-year-old man who was known to have Behçet's syndrome and who has no coronary risk factors suffered an acute anterior wall myocardial infarction which was complicated by a ventricular fibrillation. The diagnosis of Behçet's syndrome was based on recurrent thrombophlebitis, genital and oral aphtoses, posterior uveitis, positive pathergy test and HLAB51. About 20 cases of myocardial infarction were reported in the literature but the etiopathogeny, the causal relationship and the treatment are yet unknown.


Subject(s)
Behcet Syndrome/complications , Myocardial Infarction/etiology , Adult , Humans , Male
3.
Ann Cardiol Angeiol (Paris) ; 52(1): 30-3, 2003 Feb.
Article in French | MEDLINE | ID: mdl-12710292

ABSTRACT

High degree atrioventricular block complicates inferior wall acute myocardial infarction in 10 to 15% of cases. Its significance is still controversial. In this study, we have analysed 152 observations of acute inferior wall myocardial infarction during hospitalisation period. The mean age of our patients is 60 years, 48.7% of them have received fibrinolytic treatment. Second or third degree atrioventricular block was detected in 33 cases (21.7%). Mortality is higher in inferior wall myocardial infarctions with atrioventricular block than in those without atrioventricular block (12% versus 2.5%, p < 0.05). Hemodynamic complications like cardiogenic shock due to the extension of the infarction to the right ventricle and left ventricle insufficiency are more frequent (18% versus 3.4%, p < 0.01 and 12% versus 3.5%, p < 0.01 respectively). It appears that the infracted mass of myocardium is larger in case of atrioventricular block, this is assessed by comparing the average value of the peak of creatine Kinase in the two groups with and without atrioventricular block (1534 IU versus 1096 IU, p < 0.02) and by considering the rate of low ejection fraction (EF < 40%) in each group (44.6% versus 16%, p < 0.01). In our study, we note that thrombolysis does not affect the incidence of atrioventricular block (19% and 24% in thrombolyed and not thrombolyzed patients respectively) but it seems that thrombolysis improves the outcome of these patients. The occurrence of atrioventricular block in acute inferior wall myocardial infarction is related to the presence of an important right coronary artery that is occluded, the recanalisation of this vessel leads often to rapid regression of the block that is no longer pejorative.


Subject(s)
Heart Block/complications , Myocardial Infarction/complications , Acute Disease , Creatine Kinase/blood , Electrocardiography , Female , Heart Block/drug therapy , Heart Block/mortality , Humans , Male , Middle Aged , Myocardial Infarction/drug therapy , Myocardial Infarction/mortality , Prognosis , Retrospective Studies , Stroke Volume , Thrombolytic Therapy
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