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A Cath Lab Disaster: What Can We Do?
Yuriy Stukov1, Andrii Gavrylyshin2, Sergiy Salo2
1Department of Surgery, University of Florida, Gainesville, Florida, US.
Methodist Debakey Cardiovascular Journal
|November 10, 2025
Summary
Aortic perforation during percutaneous coronary intervention (PCI) is a rare but life-threatening event. This case highlights cardiac tamponade as a severe complication following iatrogenic aortic injury during PCI.
Area of Science:
- Cardiology
- Interventional Cardiology
- Medical Complications
Background:
- Percutaneous coronary intervention (PCI) is a common procedure for treating coronary artery disease.
- Aortic perforation is an infrequent yet critical complication associated with PCI.
- Iatrogenic injury to the aorta can lead to severe outcomes like cardiac tamponade.
Purpose of the Study:
- To present a case of cardiac tamponade resulting from aortic perforation during PCI.
- To emphasize the diagnostic and management challenges of this rare complication.
- To provide learning points for interventional cardiologists regarding prevention and treatment.
Main Methods:
- Case report of a 47-year-old male patient.
- Detailed description of the PCI procedure and the event of aortic perforation.
- Review of diagnostic findings (e.g., echocardiography) and therapeutic interventions.
Main Results:
- The patient developed cardiac tamponade due to iatrogenic aortic perforation during PCI.
- Timely diagnosis and management were crucial for patient survival.
- The case illustrates a 'nightmare scenario' in interventional cardiology.
Conclusions:
- Aortic perforation during PCI requires prompt recognition and intervention.
- Cardiac tamponade is a significant risk following aortic injury in PCI.
- Continuous medical education (CME) is vital for managing rare and severe PCI complications.
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