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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
PubMed

Insights

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.

Keywords:
PCIhemotransfusiontamponade

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