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Published on: September 8, 2023

Case Report: A case of a giant right ventricular wall hematoma caused by coronary artery perforation during

Yue Bao1, Jun Ma1, Lei Li1

  • 1Department of Cardiology, Wuhan Asia Heart Hospital, Wuhan, China.

Frontiers in Cardiovascular Medicine
|July 8, 2026
PubMed

Insights

A rare complication of percutaneous coronary intervention (PCI), iatrogenic coronary artery perforation (CAP) can be life-threatening. This case highlights successful management of an atypical type III CAP with a subepicardial hematoma.

Area of Science:

  • Cardiology
  • Interventional Cardiology
  • Cardiac Surgery

Background:

  • Iatrogenic coronary artery perforation (CAP) is a rare but serious complication during percutaneous coronary intervention (PCI).
  • Ellis type III CAP typically presents with massive pericardial effusion and cardiac tamponade.
  • Atypical presentations of CAP require prompt recognition and tailored management strategies.

Keywords:
cardiac tamponadecoronary artery bypass graftingcoronary artery perforationpercutaneous coronary interventionright ventricular wall hematoma

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