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Ann Thorac Surg 2008;86:1002-1004. doi:10.1016/j.athoracsur.2008.02.097
© 2008 The Society of Thoracic Surgeons
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Roberto Lorusso
Sandro Gelsomino
Carlo Fucci
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Right arrow Coronary disease

Case Reports

Emergency Surgery After Saphenous Vein Graft Perforation Complicated by Catheter Balloon Entrapment and Hemorrhagic Shock

Roberto Lorusso, MD, PhDa,*, Giuseppe De Cicco, MDa, Federica Ettori, MDb, Salvatore Curello, MDb, Sandro Gelsomino, MDa, Carlo Fucci, MDa

a Cardiac Surgery, Civic Hospital, Brescia, and Experimental Cardiac Surgery Unit, Careggi Hospital, Florence, Italy
b Cardiology Catheterization Units, Civic Hospital, Brescia, and Experimental Cardiac Surgery Unit, Careggi Hospital, Florence, Italy

Accepted for publication February 29, 2008.

* Address correspondence to Dr Lorusso, Cardiac Surgery Unit–Civic Hospital, Piazzale Spedali Civili, Brescia, 1 – 2512, Italy (Email: roberto_lorusso{at}iol.it).

Emergency surgery for acute vein graft perforation and balloon entrapment during percutaneous angioplasty is reported here. Prompt extracorporeal circulation through peripheral cannulation enabled the control of systemic perfusion despite cardiac arrest. Vein graft repair was achieved by an autologous pericardial patch. Appropriate and tailored mechanical circulatory support allowed successful extracorporeal circulation withdrawal, limited intraoperative cardiac damage, and postoperative controlled recovery of ventricular function with ultimate favorable outcome.






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