Highlights that localized cardiac tamponade can occur as a complication of coronary perforation during PTCA even in patients with previous CABG, despite the presence of pericardial adhesions.
Clinicians should consider localized tamponade after PTCA perforation in post-CABG patients; case reports leave open its incidence and optimal management.
Coronary artery perforation is a rare but important complication of percutaneous revascularization (PTCA). Clinical events following coronary perforation may include cardiac tamponade. After bypass graft operation (CABG), however, cardiac tamponade with subsequent hemodynamic instability is unusual due to the development of pericardial adhesions. We report an unusual case of localized tamponade after coronary artery perforation during PTCA in a patient with previous CABG.
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Dardas et al. (1998) studied this question.
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