Key result
In a 73-year-old woman with a prior modified Bentall procedure, type II coronary artery perforation during percutaneous coronary intervention was successfully treated with prolonged inflation of a perfusion balloon.
Case Report (n=1)
Prolonged inflation of a perfusion balloon can successfully treat coronary artery perforation complicating PCI for ostial stenosis after a Bentall procedure.
Answers are grounded in this paper and cite their sources.
May support bailout in rare post-Bentall perforations; leaves open need for systematic evaluation before broader adoption.
The Bentall procedure is a surgical technique for an ascending aortic or aortic aneurysm in combination with valve disease. A well-known uncommon complication of after the Bentall procedure is coronary artery stenosis related to coronary anastomosis of an interposed graft. We report on a 73-year-old woman who presented with heart failure secondary to graft stenosis of the right coronary artery 6 months after undergoing a modified Bentall procedure. Percutaneous coronary intervention (PCI) was performed and type II coronary artery perforation occurred during PCI of the right coronary artery. We used a perfusion balloon and achieved hemostasis successfully. We report a case of coronary artery perforation that was treated with perfusion balloon during PCI in a patient with a prior modified Bentall procedure. In addition, we present a case series of PCI for ostial coronary stenosis after the Bentall procedure.
No takes yet. Share an insight, caveat, or question.
Tsuji et al. (2018) conducted a case report in Coronary artery perforation during percutaneous coronary intervention (n=1). Percutaneous coronary intervention with perfusion balloon was evaluated on Hemostasis of coronary artery perforation. In a 73-year-old woman with a prior modified Bentall procedure, type II coronary artery perforation during percutaneous coronary intervention was successfully treated with prolonged inflation of a perfusion balloon.
Synapse has enriched 5 closely related papers on similar clinical questions. Consider them for comparative context: