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Catastrophic Left Main Coronary Artery Perforation During Complex Percutaneous Coronary Intervention: Successful

Satoru Sumitsuji1, Kenji Sadamatsu2

  • 1Department of Cardiovascular Medicine, Osaka University Graduate School of Medicine, Osaka, Japan; Department of Future Medicine, Division of Health Science, Osaka University Graduate School of Medicine, Osaka, Japan.

JACC. Case Reports
|March 21, 2025
PubMed
Summary

Intravascular ultrasound (IVUS) can cause rare coronary perforations. Rapid extracorporeal membrane oxygenation (ECMO) and a heart team approach saved a patient with cardiac arrest from IVUS-induced coronary perforation.

Keywords:
complicationcoronary artery bypasscovered stentintravascular ultrasoundrotational atherectomytamponade

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Esophageal perforations manifest in various clinical forms, influenced by factors such as the perforation's cause and location (cervical, intrathoracic, or intra-abdominal), the extent of contamination, and potential injury to adjacent mediastinal structures. The timing between the perforation occurrence and treatment initiation also affects the clinical presentation.
Clinical Manifestations:
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