Int J Angiol 2013; 22(04): 239-242
DOI: 10.1055/s-0033-1343359
Case Report
Thieme Medical Publishers 333 Seventh Avenue, New York, NY 10001, USA.

Coronary Artery Perforation following PCI: An Interesting Finding into the Pericardial Space

Georgios Dimitrakakis
1   Department of Cardiothoracic Surgery, University Hospital of Wales, Heath Park, Cardiff, United Kingdom
,
Ulrich Otto Von Oppell
1   Department of Cardiothoracic Surgery, University Hospital of Wales, Heath Park, Cardiff, United Kingdom
,
Subramaniam Balachandran
2   Department of Anaesthetics, University Hospital of Wales, Heath Park, Cardiff, United Kingdom
,
Agamemnon Pericleous
1   Department of Cardiothoracic Surgery, University Hospital of Wales, Heath Park, Cardiff, United Kingdom
,
Richard Anderson
3   Department of Cardiology, University Hospital of Wales, Heath Park, Cardiff, United Kingdom
› Author Affiliations
Further Information

Publication History

Publication Date:
30 April 2013 (online)

Abstract

Coronary artery perforation is a known complication of percutaneous coronary intervention and potentially life threatening. Normally, these perforations are small and localized. We report the successful surgical management of a coronary artery perforation following stent insertion with extrusion of an 8-cm endarterectomy length of the circumflex coronary artery with a brief review of the recent literature.

 
  • References

  • 1 Ellis SG, Ajluni S, Arnold AZ , et al. Increased coronary perforation in the new device era. Incidence, classification, management, and outcome. Circulation 1994; 90 (6) 2725-2730
  • 2 Barbeau GR, Sénéchal M, Voisine P. Delayed abrupt tamponade by isolated left atrial compression following coronary artery perforation during coronary angioplasty. Catheter Cardiovasc Interv 2005; 66 (4) 562-565
  • 3 Krabatsch T, Becher D, Schweiger M, Hetzer R. Severe left atrium compression after percutaneous coronary intervention with perforation of a circumflex branch of the left coronary artery. Interact Cardiovasc Thorac Surg 2010; 11 (6) 811-813
  • 4 Fukutomi T, Suzuki T, Popma JJ , et al. Early and late clinical outcomes following coronary perforation in patients undergoing percutaneous coronary intervention. Circ J 2002; 66 (4) 349-356
  • 5 Demin VV. [Successful correction with stent-graft of coronary artery rupture after angioplasty]. Angiol Sosud Khir 2003; 9 (2) 118-121
  • 6 Witzke CF, Martin-Herrero F, Clarke SC, Pomerantzev E, Palacios IF. The changing pattern of coronary perforation during percutaneous coronary intervention in the new device era. J Invasive Cardiol 2004; 16 (6) 257-301
  • 7 Tanaka S, Nishigaki K, Ojio S , et al. Transcatheter embolization by autologous blood clot is useful management for small side branch perforation due to percutaneous coronary intervention guide wire. J Cardiol 2008; 52 (3) 285-289
  • 8 Störger H, Ruef J. Closure of guide wire-induced coronary artery perforation with a two-component fibrin glue. Catheter Cardiovasc Interv 2007; 70 (2) 237-240
  • 9 Yamagishi I, Sakurada T, Sato T, Abe Y, Izumi M, Abe T. Emergency coronary artery bypass grafting after left coronary artery rupture: a case report. Ann Thorac Cardiovasc Surg 1998; 4 (2) 91-95
  • 10 Gunning MG, Williams IL, Jewitt DE, Shah AM, Wainwright RJ, Thomas MR. Coronary artery perforation during percutaneous intervention: incidence and outcome. Heart 2002; 88 (5) 495-498
  • 11 Fasseas P, Orford JL, Panetta CJ , et al. Incidence, correlates, management, and clinical outcome of coronary perforation: analysis of 16,298 procedures. Am Heart J 2004; 147 (1) 140-145
  • 12 Shimony A, Joseph L, Mottillo S, Eisenberg MJ. Coronary artery perforation during percutaneous coronary intervention: a systematic review and meta-analysis. Can J Cardiol 2011; 27 (6) 843-850
  • 13 Fejka M, Dixon SR, Safian RD , et al. Diagnosis, management, and clinical outcome of cardiac tamponade complicating percutaneous coronary intervention. Am J Cardiol 2002; 90 (11) 1183-1186