title: A successful surgical treatment of coronary perforation associated with directional coronary atherectomy--a case report.
abstract: We encountered a patient with coronary perforation showing cardiac tamponade and shock that occurred during debulking by directional coronary atherectomy. We successfully performed emergent pericardial drainage and aorto-coronary bypass procedures. Bypass surgery is recommended to avoid perioperative myocardial infarction in cases such as ours since the native coronary artery may be at risk of being occluded or narrowed due to oppression by the hematoma and destroyed intima.
authors.affiliation: Department of Cardiovascular Surgery, Hoshi General Hospital, Fukushima, Japan.
authors.forename: M
authors.initials: M
authors.lastname: Nonoyama
authors.forename: K
authors.initials: K
authors.lastname: Tsuchida
authors.forename: M
authors.initials: M
authors.lastname: Kijima
authors.forename: S
authors.initials: S
authors.lastname: Matsumoto
authors.forename: K
authors.initials: K
authors.lastname: Kurosawa
mesh_terms: D000368:Aged; D000369:Aged, 80 and over; D017225:Atherectomy, Coronary / Q000009:adverse effects*; D001026:Coronary Artery Bypass; D003331:Coronary Vessels / Q000293:injuries*; D006801:Humans; D008297:Male