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Published on: April 17, 2021
The successful management of type III coronary perforation
Mustafa Adem Tatlisu1, Adem Atici1, Aysu Oktay1
1Department of Cardiology, Istanbul Medeniyet University Faculty of Medicine, Istanbul, Turkiye.
Insights
Coronary artery perforation during percutaneous coronary intervention is a serious complication. This case study shows successful management of a left anterior descending artery perforation using a covered stent, with no ischemia at follow-up.
Area of Science:
- Interventional Cardiology
- Cardiovascular Medicine
- Medical Case Reports
Background:
- Coronary artery perforation is a rare but serious complication during percutaneous coronary intervention (PCI).
- Managing such events requires prompt and effective strategies to prevent adverse outcomes like cardiac tamponade and hemodynamic instability.
Abstract:
The coronary artery perforation during percutaneous coronary intervention is a nightmare for interventional cardiologists and is always hard to manage timely and properly. We present a 60-year-old male with periprocedural coronary perforation during ST-segment elevation myocardial infarction. A coronary balloon was inflated in the proximal left anterior descending (LAD) artery just after perforation and the 600 cc of hemorrhagic fluid was drained with the pericardial drainage set. The covered stent was deployed in the LAD and he was discharged on the 7th day. At an 18-month follow-up, he is on dual-antiplatelet therapy and the exercise stress test shows no ischemic changes.
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