Complete left atrial obliteration due to localized tamponade after coronary artery perforation during PTCA.
Coronary artery perforation is a rare but important complication of percutaneous revascularization (PTCA). Clinical events following coronary perforation may include cardiac tamponade. After bypass graft operation (CABG), however, cardiac tamponade with subsequent hemodynamic instability is unusual due to the development of pericardial adhesions. We report an unusual case of localized tamponade after coronary artery perforation during PTCA in a patient with previous CABG.
Dardas
P S
PS
Department of Cardiology and Cardiac Surgery, Geniki Kliniki, Thessaloniki, Greece.
Tsikaderis
D D
DD
Makrigiannakis
K
K
Saripoulos
P
P
Toumbouras
M
M
D000368:Aged; D015906:Angioplasty, Balloon, Coronary / Q000295:instrumentation*; D002305:Cardiac Tamponade / Q000175:diagnosis* / Q000601:surgery; D017023:Coronary Angiography; D001026:Coronary Artery Bypass; D003331:Coronary Vessels / Q000293:injuries*; D004452:Echocardiography; D006083:Graft Occlusion, Vascular / Q000175:diagnosis / Q000628:therapy*; D006325:Heart Atria; D006439:Hemodynamics / Q000502:physiology; D006801:Humans; D008297:Male; D019233:Retreatment