Severe left atrium compression after percutaneous coronary intervention with perforation of a circumflex branch of the left coronary artery.

Abstract

Coronary artery perforation is a rare complication of percutaneous coronary intervention, but can result in cardiac tamponade and is thus potentially life-threatening. This report describes a rare case of epimyocardial haematoma formation after coronary perforation resulting in a functional mitral stenosis in a patient with coronary bypass grafting in his history. Coronary artery perforations in patients who had previously undergone a coronary bypass grafting procedure, may lead to uncommon haematoma localizations with significant functional implications. A rapid surgical intervention can be life saving.

• Authors: Thomas Krabatsch, Daniel Becher, Martin Schweiger, Roland Hetzer
• Journal: Interactive cardiovascular and thoracic surgery (Interact Cardiovasc Thorac Surg) Vol. 11 Issue 6 Pg. 811-3 (Dec 2010) ISSN: 1569-9285 [Electronic] England
• PMID: 20739408 (Publication Type: Case Reports, Journal Article)

Topics

• Aged
• Angioplasty, Balloon, Coronary (adverse effects)
• Cardiac Surgical Procedures
• Cardiac Tamponade (diagnosis, etiology, surgery)
• Coronary Artery Bypass (adverse effects)
• Coronary Artery Disease (surgery)
• Coronary Vessels (injuries, surgery)
• Echocardiography
• Graft Occlusion, Vascular (etiology, therapy)
• Heart Atria (pathology)
• Hematoma (diagnosis, etiology, surgery)
• Humans
• Male
• Mitral Valve Stenosis (diagnosis, etiology, surgery)
• Tomography, X-Ray Computed
• Treatment Outcome
• Wounds, Penetrating (diagnosis, etiology, surgery)