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

Muhammad Shabbir Ijaz^1, , Syed Ali Akhtar Tirmizi², Muhammad Usman Mustafa³, Nawal Usman Mustafa⁴, Mahvish Afza⁵ and Mashal Mumtaz⁶

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

Cite this paper

Muhammad Shabbir Ijaz, Syed Ali Akhtar Tirmizi, Muhammad Usman Mustafa, Nawal Usman Mustafa, Mahvish Afza and 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

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.

Keywords

cardiac laceration, cardiac stapling, cardiorrhaphy, iatrogenic coronary artery occlusion

Copyright

This work is licensed under a Creative Commons Attribution 4.0 International License. To view a copy of this license, visit http://creativecommons.org/licenses/by/4.0/

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