Key result
Coronary perforation during PCI is a rare but life-threatening complication requiring prompt recognition and management, as illustrated by a case requiring emergency CABG after a type III perforation.
Case Report (n=1)
Coronary perforation during complex PCI requires prompt recognition and a stepwise management approach including prolonged balloon inflation, covered stents, pericardiocentesis, and potentially emergency surgery.
Prompt recognition of coronary perforation remains essential in PCI; case reports leave open optimal stepwise protocols.
Coronary perforation is a potentially fatal complication during percutaneous coronary intervention (PCI). Reports have shown that it occurs in 0.2 to 0.6% of all patients undergoing the procedures. [1-3] Though the frequency of coronary perforation is low, it is a serious and potentially life-threatening situation that warrants prompt recognition and management. Here we illustrate a case of coronary perforation, and review the incidence, causes, clinical sequelae and management of coronary perforation in the current contemporary practice.
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Yong et al. (2013) conducted a case report in Coronary perforation complicating percutaneous coronary intervention (n=1). Percutaneous coronary intervention was evaluated. Coronary perforation during PCI is a rare but life-threatening complication requiring prompt recognition and management, as illustrated by a case requiring emergency CABG after a type III perforation.
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