[Coronary Artery Perforation Treated with Coronary Artery Bypass Grafting and Coil Embolization:Report of a Case]

Area of Science:

• Interventional Cardiology
• Cardiovascular Surgery

Background:

• Percutaneous coronary intervention (PCI) is a common treatment for coronary artery disease.
• Coronary perforation is a rare but serious complication of PCI, potentially leading to cardiac tamponade and increased mortality.
• Managing coronary perforation can be challenging, especially when standard treatments fail.

Purpose of the Study:

• To report a case of coronary perforation following drug-eluting stent (DES) deployment during PCI.
• To evaluate the efficacy of a hybrid surgical approach for managing refractory coronary perforation.
• To present a novel treatment strategy for a life-threatening PCI complication.

Main Methods:

• A case study of an 88-year-old male patient with right coronary artery occlusion.
• Coronary perforation occurred after DES implantation, with persistent bleeding despite covered stent use.
• Hybrid surgery involving coronary artery bypass grafting (CABG) and coil embolization was performed.

Main Results:

• The patient experienced coronary perforation after DES implantation.
• Covered stent implantation failed to control the bleeding.
• Hybrid surgery with CABG and coil embolization was successfully performed.
• The patient recovered uneventfully and was discharged on postoperative day 59.

Conclusions:

• Coronary perforation is a significant complication of PCI.
• Standard treatments may be insufficient for severe coronary perforations.
• A combination of coil embolization and CABG offers a potential alternative strategy for managing complex coronary perforations.