1Department of Medicine, Poplar Bluff Regional Medical Center, Poplar Bluff, Missouri, USA
2Department of Medicine, The University of Mississippi Medical Center, Jackson, Mississippi, USA
3Capital health System, Saint Francis Medical Center, Trenton, New Jersey, USA
4Royal College of physicians Ireland, Bahrain
5Allama Iqbal Medical College, Lahore, Pakistan
6University of Lahore, Pakistan
American Journal of Medical Case Reports.
2022,
Vol. 10 No. 9, 244-246
DOI: 10.12691/ajmcr-10-9-8
Copyright © 2022 Science and Education PublishingCite this paper: Muhammad Shabbir Ijaz, Syed Ali Akhtar Tirmizi, Muhammad Usman Mustafa, Nawal Usman Mustafa, Mahvish Afza, Mashal Mumtaz. Coronary Artery Occlusion Following Cardiac Stab Wound Repair: A Rare Iatrogenic Complication.
American Journal of Medical Case Reports. 2022; 10(9):244-246. doi: 10.12691/ajmcr-10-9-8.
Correspondence to: Muhammad Shabbir Ijaz, Department of Medicine, Poplar Bluff Regional Medical Center, Poplar Bluff, Missouri, USA. Email:
m.shabbir.ijaz.md@gmail.comAbstract
We present a case of iatrogenic distal coronary artery obstruction secondary to staples recently used to control massive bleeding from cardiac stab wound. Coronary artery occlusion was discovered on elective cardiac catheterization done for anginal chest pains a few weeks after initial cardiac laceration repair surgery. Due to the potential risk of coronary artery rupture with endovascular intervention in this case with metallic staples around the distal coronary artery, conservative management was adopted. This is a case of a rare but clinically important iatrogenic complication.
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