[Coronary Artery Perforation Secondary to Primary Percutaneous Coronary Intervention;Report of a Case]
Eiji Kinoshita1, Koji Kawahito, Arata Muraoka
1Department of Cardiovascular Surgery, Jichi Medical University, Tochigi, Japan.
Insights
Stent perforation during percutaneous coronary intervention (PCI) is a rare complication. This case highlights successful resuscitation and surgical management of left circumflex artery perforation, emphasizing collaborative care.
Area of Science:
- Cardiology
- Interventional Cardiology
- Cardiac Surgery
Background:
- Percutaneous coronary intervention (PCI) is a common procedure for acute coronary syndrome.
- Stent perforation of a coronary artery is a rare but severe complication.
- Left circumflex artery (LCX) perforation can lead to life-threatening conditions like cardiac tamponade.
Abstract:
Stent perforation of a coronary artery during percutaneous coronary intervention (PCI) is a rare but life-threatening complication. A 70-year-old man was admitted to our hospital for management of acute coronary syndrome. PCI was attempted for the left circumflex artery(LCX);however, catheterization was complicated by perforation of the LCX by the stent. He developed cardiac tamponade and was resuscitated using percutaneous cardiopulmonary support. Emergency surgery( ligation of the LCX and aorto-coronary bypass grafting for the distal LCX) was performed. His postoperative course was uneventful, and the patient was discharged on the 20th postoperative day. Collaboration between cardiologists and surgeons is essential to salvage such a critical patient.
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