台灣外科醫學會雜誌

中文 | ENG

	第57卷第6期 2024-11 Emerging robot-guided techniques in endodontic microsurgery
.........................
	第57卷第6期 2024-11 Management of subcapsular hematoma after living donor liver transplant
.........................
	第57卷第6期 2024-11 Urethral pseudodiverticulum with left-sided nonfunctioning kidney: Case report
.........................
	第57卷第6期 2024-11 Strategy to minimize surgical defect of dermatofi brosarcoma protuberans
.........................
	第57卷第6期 2024-11 Rapunzel syndrome—An uncommon disease with varied common presentations
.........................
	第57卷第6期 2024-11 Minimally invasive approaches to management of acute necrotizing pancreatitis
.........................
	第57卷第6期 2024-11 Innovative surgical technique: Addressing ethical concerns
.........................
	第57卷第6期 2024-11 Emergency surgery and HIV screening, clinical or universal scenarios?
.........................
	第57卷第6期 2024-11 High mortality rates associated with parainfl uenza virus, not metapneumovirus, infections in lung transplant recipients: A retrospective observation
.........................
	第57卷第6期 2024-11 Predatory clinical surgery journal, rescinding the decision to accept submitted article and unjustifi ed rejection and unprofessional conduct
.........................
	第57卷第6期 2024-11 Sacrifi cial of unilateral vertebral artery for fragment removal following vertebral artery injury by air rif le pellet gunshot: A case report
.........................
	第57卷第6期 2024-11 Evaluation of three-dimensional reconstruction technology in precision hepatectomy for primary liver cancer
.........................
	第57卷第6期 2024-11 Exploring the seasonal variation of anorectal disease: A comprehensive study
.........................
	第57卷第6期 2024-11 Efficacy of the minimal-invasive vacuum-assisted biopsy under direct visualization with ultrasound for impalpable breast lesions in Taiwanese female: A retrospective case-control study
.........................
	第57卷第6期 2024-11 Computed tomography on the 5th postoperative day helps distinguish grade C from grade B pancreatic fi stula after pancreaticoduodenectomy for periampullary cancer
.........................
	第57卷第6期 2024-11 Pressurized intraperitoneal aerosol chemotherapy (PIPAC): Why it will transform cancer surgery
.........................
	第57卷第5期 2024-9 Evaluating the pros and cons of anonymous commenting on PubPeer
.........................
	第57卷第5期 2024-9 Infected urachal cyst with urethral stricture disease presenting with intraperitoneal perforation of cyst and pyoperitoneum
.........................
	第57卷第5期 2024-9 COVID-19 vaccination and acute cholecystitis: A rare but important clinical problem
.........................
	第57卷第5期 2024-9 Hobnail-shaped primary prostatic urethral calculus due to urethral stricture disease
.........................

登入帳號才能閱讀全文

篇名	Aortic perforation as a complication of percutaneous coronary angiography
作者	Hui-Han Lin, Wei-Liang Lai, Ping-Chun Li, Ming-Li Li
卷期/出版年月	44卷6期 (2011/12)
頁次	225-227
摘要	Aortic perforation during coronary angiographyis a rare but potentially lethalcomplication. We present the case of a 75-year-old man who sustained an aortic perforation at the sinus of Valsava during coronary angiography being carried out in preparation for percutaneous coronary intervention (PCI). This clinical emergency was initially managed by pericardiocentesis with a pigtail catheter, despite subtle evidence shown by the image of coronary perforation or aortic perforation. Emergency pericardiotomy was performed and active bleeding was found from the sinus of Valsava. We successfully repaired the perforation using a direct tensionless suture. This case suggests that aortic perforation can be missed if there is only a subtle contrast jet in the angiography, and emergency surgical intervention will then become mandatory.
關鍵詞	aortic perforation;complication;coronary angiography;surgical management
分類	Case Report