Abstract
A 57-year-old man experienced sudden onset of pleuritic chest pain and respiratory distress 10 days after undergoing four-vessel coronary artery bypass grafting (CABG). The surgery was performed after cardiac catheterization had shown right coronary artery dominance and the presence of lesions occluding 40% of the mid right coronary artery, 20% of the left main coronary artery, and 99% of the lower left anterior descending artery and its first diagonal branch. The patient had initially presented with acute dyspnea following an episode of crushing, nonradiating pain in the left chest and was diagnosed as having a non-Q-wave myocardial infarction after cardiac enzyme testing. His hospital course before and immediately after CABG was uneventful. The first sign of difficulty was detected one week after surgery, on day 17. An echocardiogram showed a small pericardial effusion, moderate to severe concentric thickening of the left ventricle, a left ventricular ejection fraction of 0.60 (normal, 0.67 ± 0.08), normal valves, and normal segmental wall motion. The pleural chest pains began two days later, on day 19.
| Original language | English (US) |
|---|---|
| Journal | Hospital Practice |
| Volume | 33 |
| Issue number | 10 |
| State | Published - Oct 15 1998 |
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ASJC Scopus subject areas
- Medicine(all)
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Complication after arterial bypass grafting. / Dizon, Michelle; Wallach, Paul M; Matfin, Glenn; Adelman, Harold M.
In: Hospital Practice, Vol. 33, No. 10, 15.10.1998.Research output: Contribution to journal › Article
}
TY - JOUR
T1 - Complication after arterial bypass grafting
AU - Dizon, Michelle
AU - Wallach, Paul M
AU - Matfin, Glenn
AU - Adelman, Harold M.
PY - 1998/10/15
Y1 - 1998/10/15
N2 - A 57-year-old man experienced sudden onset of pleuritic chest pain and respiratory distress 10 days after undergoing four-vessel coronary artery bypass grafting (CABG). The surgery was performed after cardiac catheterization had shown right coronary artery dominance and the presence of lesions occluding 40% of the mid right coronary artery, 20% of the left main coronary artery, and 99% of the lower left anterior descending artery and its first diagonal branch. The patient had initially presented with acute dyspnea following an episode of crushing, nonradiating pain in the left chest and was diagnosed as having a non-Q-wave myocardial infarction after cardiac enzyme testing. His hospital course before and immediately after CABG was uneventful. The first sign of difficulty was detected one week after surgery, on day 17. An echocardiogram showed a small pericardial effusion, moderate to severe concentric thickening of the left ventricle, a left ventricular ejection fraction of 0.60 (normal, 0.67 ± 0.08), normal valves, and normal segmental wall motion. The pleural chest pains began two days later, on day 19.
AB - A 57-year-old man experienced sudden onset of pleuritic chest pain and respiratory distress 10 days after undergoing four-vessel coronary artery bypass grafting (CABG). The surgery was performed after cardiac catheterization had shown right coronary artery dominance and the presence of lesions occluding 40% of the mid right coronary artery, 20% of the left main coronary artery, and 99% of the lower left anterior descending artery and its first diagonal branch. The patient had initially presented with acute dyspnea following an episode of crushing, nonradiating pain in the left chest and was diagnosed as having a non-Q-wave myocardial infarction after cardiac enzyme testing. His hospital course before and immediately after CABG was uneventful. The first sign of difficulty was detected one week after surgery, on day 17. An echocardiogram showed a small pericardial effusion, moderate to severe concentric thickening of the left ventricle, a left ventricular ejection fraction of 0.60 (normal, 0.67 ± 0.08), normal valves, and normal segmental wall motion. The pleural chest pains began two days later, on day 19.
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M3 - Article
C2 - 9793541
AN - SCOPUS:6744262233
VL - 33
JO - Hospital practice (1995)
JF - Hospital practice (1995)
SN - 2154-8331
IS - 10
ER -