Key result
Drastic intervention including PTCA balloon occlusion, pericardiocentesis, and vessel ligation resulted in a favorable outcome for a patient with LAD rupture and cardiac tamponade during PTCA.
Case Report (n=1)
Drastic intervention including balloon occlusion, pericardiocentesis, and vessel ligation can successfully manage LAD rupture with tamponade during PTCA without CABG.
May enable nonsurgical bailout for PTCA-related LAD rupture; hypothesis-generating and should not yet change practice.
We describe a patient in whom percutaneous transluminal coronary angioplasty (PTCA) was complicated by rupture of the left anterior descending coronary artery (LAD) with pericardial tamponade. The outcome was favorable with drastic intervention which included: occlusion of the bleeding vessel with the PTCA balloon, pericardiocentesis, and ligation of the vessel without the need of aortocoronary bypass graft.
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Nassar et al. (1991) conducted a case report in Coronary arterial rupture with pericardial tamponade during PTCA (n=1). Occlusion of bleeding vessel with PTCA balloon, pericardiocentesis, and vessel ligation was evaluated on Clinical outcome. Drastic intervention including PTCA balloon occlusion, pericardiocentesis, and vessel ligation resulted in a favorable outcome for a patient with LAD rupture and cardiac tamponade during PTCA.
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