Compression syndrome as a complication of percutaneous coronary intervention

Area of Science:

• Cardiology
• Interventional Cardiology
• Vascular Medicine

Background:

• Percutaneous coronary intervention (PCI) is a common procedure for coronary artery disease.
• Coronary artery perforation is a rare but potentially life-threatening complication of PCI.
• Saphenous vein grafts are susceptible to complications during PCI.

Observation:

• A case of coronary artery perforation during PCI of a saphenous vein graft is presented.
• The perforation led to a compressive right atrial hematoma, a rare sequela.
• The patient's clinical presentation and diagnostic imaging findings are detailed.

Findings:

• Successful management of the perforation and associated right atrial hematoma was achieved.
• Review of similar cases in the literature provides context for this rare event.
• Imaging modalities played a crucial role in the diagnosis and management strategy.

Implications:

• This case underscores the importance of vigilance for rare complications during PCI.
• Prompt diagnosis and appropriate management are critical for favorable outcomes.
• Understanding the role of imaging can improve the handling of such complex cases.