Key result
Emergency surgery was successfully performed in a 78-year-old woman after multiple prolonged attempts at percutaneous repair of a coronary artery perforation failed.
Case Report (n=1)
This case report highlights that prompt referral for emergency surgery may be necessary following coronary perforation during PTCA when percutaneous repair fails.
May support prompt surgical referral after failed percutaneous repair of coronary perforation; leaves open optimal management strategy.
Coronary perforation is a recognized hazard following cardiac catheterization and may lead to a catastrophic outcome. Prompt decision-making following diagnosis is of key importance. Whether to perform prolonged attempts at percutaneous repair or to promptly refer the patient for emergency surgery soon after diagnosis still remains a matter of debate. We report the case of a 78-year-old woman suffering from coronary artery perforation during left anterior descending coronary artery percutaneous transluminal coronary angioplasty-stenting, who underwent unsuccessful multiple prolonged attempts at percutaneous repair followed by subsequent successful emergency surgery.
No takes yet. Share an insight, caveat, or question.
Simon et al. (2006) conducted a case report in Coronary artery perforation (n=1). Emergency surgery following unsuccessful percutaneous repair attempts was evaluated. Emergency surgery was successfully performed in a 78-year-old woman after multiple prolonged attempts at percutaneous repair of a coronary artery perforation failed.