Abstract
We report a case of coronary encapsulated rupture following stent implantation in the distal anastomosis of a saphenous by-pass graft to the left anterior descending coronary artery that evolved well with conservative treatment. The patient did not require pericardiocentesis and was treated with prolonged inflations with low pressure autoperfusion balloon at the rupture point. Pericardial adherences related to a previous coronary surgery probably limited the bleeding process avoiding hemodynamic collapse.
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