title: [Coronary artery perforation with rotational coronary atherectomy].
abstract: The authors describe a rare case of circumflex coronary artery perforation during rotational coronary atherectomy complicated with cardiac tamponade and good outcome. The possible causes of perforation are discussed and the burr oversize (burr/artery ratio was 0.58) was refused. Shortening and artery plicature (accordeon effect) might have been the cause of this event. Quantitative measurement was made in order to strengthen this hypothesis. It is emphasized the importance of selecting lesions that should be submitted to rotational coronary atherectomy.
authors.affiliation: Instituto do Coração do Hospital das Clinicas-FMUSP.
authors.forename: A E
authors.initials: AE
authors.lastname: Moreira
authors.forename: S
authors.initials: S
authors.lastname: Arie
authors.forename: D P
authors.initials: DP
authors.lastname: Garcia
authors.forename: J L
authors.initials: JL
authors.lastname: Piccioni
authors.forename: A C
authors.initials: AC
authors.lastname: Aliman
authors.forename: L J
authors.initials: LJ
authors.lastname: Kajita
authors.forename: L F
authors.initials: LF
authors.lastname: Morrone
authors.forename: L A
authors.initials: LA
authors.lastname: Dallan
authors.forename: S
authors.initials: S
authors.lastname: Zalc
mesh_terms: D017225:Atherectomy, Coronary / Q000009:adverse effects* / Q000295:instrumentation; D002305:Cardiac Tamponade / Q000209:etiology*; D002932:Cineangiography; D003327:Coronary Disease / Q000601:surgery*; D003331:Coronary Vessels / Q000293:injuries*; D006801:Humans; D008297:Male; D008875:Middle Aged