Obstructive shock with mediastinal hematoma caused by chest compressions after successful primary percutaneous coronary intervention

Publication date: Available online 10 June 2019Source: Journal of Cardiology CasesAuthor(s): Hirokazu Shimono, Takashi Kajiya, Kosuke Saku, Masahiro Ueno, Junichiro Takaoka, Yoshihiko Atsuchi, Nobuhiko Atsuchi, Mitsuru OhishiAbstractA 75-year-old man with a history of hypertension was transferred to our hospital due to pulseless ventricular tachycardia. When return of spontaneous circulation was achieved, an electrocardiogram showed ST elevation in V1-4 leads. Successuful primary percutaneous coronary intervention was performed. However, on the next day, the patient’s systolic blood pressure dropped to 60 mmHg despite using high-dose inotropic agents. Echocardiography and chest computed tomography revealed large mediastinal hematoma. A diagnosis of obstructive shock caused by massive mediastinal hematoma was made. Emergency surgical evacuation of hematoma and hemostasis was successfully performed.
Source: Journal of Cardiology Cases - Category: Cardiology Source Type: research

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Source: Cardiophile MD - Category: Cardiology Authors: Tags: General Cardiology Source Type: blogs
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Source: Cardiophile MD - Category: Cardiology Authors: Tags: General Cardiology Source Type: blogs
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