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[A case of coronary perforation after directional coronary atherectomy]
1Department of Cardiovascular Surgery, National Toyohashi-Higashi Hospital, Japan.
Insights
Acute coronary perforation during directional coronary atherectomy is rare but manageable. Immediate intervention with a perfusion catheter and subsequent coronary artery bypass grafting led to successful patient recovery.
Area of Science:
- Cardiovascular Medicine
- Interventional Cardiology
- Surgical Innovation
Background:
- Directional coronary atherectomy (DCA) is a procedure to treat coronary artery disease.
- Coronary perforation is a rare but serious complication of interventional cardiology procedures.
- Angina pectoris is chest pain caused by reduced blood flow to the heart.
Abstract:
Directional coronary atherectomy was performed on a 69-year-old female with angina pectoris. She suffered from coronary perforation as a result of cardiac tamponade and shock. Pericardial drainage and hemostasis were performed immediately using a perfusion catheter. The patient was transferred to the operating room for perforation repair and coronary artery bypass grafting to the distal portion of the left anterior descending artery. The procedure was performed successfully. Although acute coronary perforation associated with directional coronary atherectomy is rare, it can be managed temporarily by a perfusion catheter and we successfully performed coronary artery bypass grafting.