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CARDIOVASCULAR JOURNAL OF AFRICA • Volume 28, No 4, July/August 2017
AFRICA
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repair of the myocardium are the main strategies for an unstable
patient with haemodynamic impairment. However, reported
surgical mortality rates range from 0–80%, presumably because
of the complex patho-anatomy and friable myocardium.
2
We
decided to manage the patient conservatively due to the short
period of haemodynamic instability, the size stabilised after
protamine treatment, and there were no significant related
complications.
Conclusion
Since there are high mortality rates and difficulties in the
management of DIH, the main treatment strategies should be
based on prevention of this disease in adults. Control of the
guide-wire (especially hydrophilic ones) is very important during
PCI. Management of DIH should be individualised, integrating
the patient’s haemodynamic stability, the size, location and extent
of the DIH, and development of DIH-related complications.
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