Cardiac Failure Developing Eleven Years after Coronary Artery Bypass Grafting;Report of a Case
Taguchi, S.; Hachiya, T.; Onoguchi, K.; Hanai, M.; Sumi, M.; Yamazaki, M.; Yamashiro, M.
Kyobu Geka. Japanese Journal of Thoracic Surgery 69(13): 1102-1105
2016
ISSN/ISBN: 0021-5252 PMID: 27909280 Document Number: 686933
We report a rare case of cardiac failure for intrapericardial hematoma 11 years after coronary artery bypass grafting. A 59-year-old man was admitted to our hospital with cardiac tamponade. Echocardiography and computed tomography scan showed severe compression of the left ventricle(LV) by a large mass sized about 5×8 cm. Coronary angiography showed total occlusion at circumflex branch (Cx) #11. The mass was diagnosed with intrapericardial hematoma. We performed removal of hematoma in the pericardial cavity, and removed hematoma had 126 g. Considering that the patient had suffered from diabetes mellitus, the localized collection of the hematoma might be explained by possible slow oozing from LV free wall rupture after asymptomatic myocardial infarction at Cx area.