Conservative management of guidewire coronary artery perforation with pericardial effusion during angioplasty for acute inferior myocardial infarction.
A wire perforation of a totally occluded right coronary artery was treated successfully with prolonged balloon inflation. This non-surgical management is preferred if physiologic and anatomic conditions are suitable.
Flynn
M S
MS
Department of Internal Medicine, St. Louis University Hospital, Missouri 63110.
Aguirre
F V
FV
Donohue
T J
TJ
Bach
R G
RG
Caracciolo
E A
EA
Kern
M J
MJ
D000784:Aortic Dissection / Q000000981:diagnostic imaging / Q000628:therapy; D015906:Angioplasty, Balloon, Coronary / Q000295:instrumentation*; D002404:Catheterization / Q000295:instrumentation; D003323:Coronary Aneurysm / Q000000981:diagnostic imaging / Q000628:therapy; D017023:Coronary Angiography; D003331:Coronary Vessels / Q000293:injuries*; D006801:Humans; D008297:Male; D008875:Middle Aged; D009203:Myocardial Infarction / Q000000981:diagnostic imaging / Q000628:therapy*; D010490:Pericardial Effusion / Q000000981:diagnostic imaging / Q000628:therapy*; D011183:Postoperative Complications / Q000000981:diagnostic imaging / Q000628:therapy; D012019:Reflex Sympathetic Dystrophy / Q000000981:diagnostic imaging / Q000601:surgery