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Coronary artery perforation during diagnostic coronary angiography resulting in acute pericarditis
Serkan Duyuler1, Pınar Türker Bayır2, Ahmet Korkmaz3
1Cardiology Clinic, Hakkari State Hospital, Hakkari, Turkey.
Insights
Coronary artery perforation during diagnostic angiography is rare. This case highlights conservative management of resulting acute pericarditis without cardiac biomarker elevation.
Area of Science:
- Cardiology
- Interventional Cardiology
- Medical Case Reports
Background:
- Diagnostic coronary angiography is a common procedure for evaluating coronary artery disease.
- Coronary artery perforation is a rare but serious complication of angiography.
- Pericarditis, inflammation of the pericardium, can occur secondary to cardiac procedures.
Purpose of the Study:
- To report a case of coronary artery perforation during diagnostic coronary angiography.
- To describe the clinical presentation and management of a patient experiencing this complication.
- To discuss the implications for patient care and procedural safety.
Main Methods:
- A case study approach was used.
- Diagnostic coronary angiography was performed.
- Clinical monitoring and conservative management strategies were employed.
Main Results:
- Coronary artery perforation occurred during the procedure.
- No elevation in cardiac biomarkers was detected.
- The patient developed acute pericarditis.
- Conservative treatment for pericarditis was successful.
Conclusions:
- Coronary artery perforation during angiography requires careful monitoring.
- Conservative management can be effective for post-procedural pericarditis.
- Absence of cardiac biomarker elevation does not exclude significant procedural complications.
Abstract:
We report a case of coronary artery perforation during diagnostic coronary angiography. No cardiac biomarker elevation was observed. However, the patient suffered acute pericarditis which was treated conservatively.
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