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Karin E1, Greenberg R, Avital S, Aladgem D, Kluger Y. The management of stab wounds to the heart with laceration of the left anterior descending coronary artery. Eur J Emerg Med. 2001 Dec; 8(4): 321-3.

has been cited by the following article:

Article

Coronary Artery Occlusion Following Cardiac Stab Wound Repair: A Rare Iatrogenic Complication

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 Publishing

Cite 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.com

Abstract

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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