Key result
Surgical therapy was required to achieve hemostasis after an insufficient percutaneous sealing of a coronary artery perforation during complex PCI.
Case Report (n=1)
Prompt recognition and availability of cardiac surgery are essential for survival in cases of coronary artery perforation with subepicardial hematoma and tamponade during complex PCI.
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Failed percutaneous sealing in coronary perforation may necessitate surgery; this case extends subepicardial hematoma reports but leaves management open.
This report presents the case of fissured subepicardial hematoma and cardiac tamponade after coronary artery perforation during a complex percutaneous intervention. Surgical therapy was required to achieve hemostasis because a percutaneous sealing result was insufficient. Prompt recognition and cardiac surgery availability are essential for patient survival in such situations. (Level of Difficulty: Beginner.)
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Corona et al. (2021) conducted a case report in Coronary artery perforation, subepicardial hematoma, and cardiac tamponade after complex percutaneous coronary intervention (n=1). Surgical therapy was evaluated on Hemostasis. Surgical therapy was required to achieve hemostasis after an insufficient percutaneous sealing of a coronary artery perforation during complex PCI.
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