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Updated: Feb 22, 2026

Direct Re-implantation of Left Coronary Artery into the Aorta in Adults with Anomalous Origin of Left Coronary Artery from the Pulmonary Artery ALCAPA
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Management of Coronary Artery Perforations: A Stepwise, Case-Based Review From a High-Volume Center

Ahmed Elsherif1, Sophia Khattak2, Ameenathul Fawzy1

  • 1Department of Cardiology, Queen Elizabeth Hospital, University Hospital, Birmingham NHS Trust, Birmingham, United Kingdom.

JACC. Case Reports
|February 20, 2026
PubMed

Insights

Coronary artery perforation (CAP) is a rare but serious complication of percutaneous coronary intervention. Prompt management with balloon tamponade and tailored interventions can effectively prevent mortality and the need for surgery.

Area of Science:

  • Interventional Cardiology
  • Cardiovascular Research
  • Medical Device Technology

Background:

  • Coronary artery perforation (CAP) is a rare but serious complication of percutaneous coronary intervention (PCI).
  • It occurs in 0.2%–0.5% of routine PCI cases and up to 3% of complex procedures.
  • CAP can be life-threatening if not managed promptly and effectively.
Abstract

Keywords:
balloon tamponadecase seriescoil embolizationcoronary artery perforationcovered stentspercutaneous coronary intervention

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