Coronary sinus compression as a sign of cardiac tamponade.
Coronary perforation and resultant cardiac tamponade are well-known but rare complications of percutaneous coronary interventions. We present a case that demonstrates coronary sinus compression caused by increasing pericardial pressure as a new sign of impending cardiac tamponade. This previously unreported angiographic sign preceded hemodynamic, symptomatic, and echocardiographic evidence of tamponade.
Steiner
M A
MA
Emory University, Division of Cardiology and The Carlyle Fraser Heart Center at Crawford Long Hospital, Atlanta, Georgia 30365, USA.
Marshall
J J
JJ
D000787:Angina Pectoris / Q000601:surgery*; D015906:Angioplasty, Balloon, Coronary / Q000295:instrumentation*; D017225:Atherectomy, Coronary / Q000295:instrumentation*; D001794:Blood Pressure / Q000502:physiology; D002305:Cardiac Tamponade / Q000175:diagnosis / Q000503:physiopathology*; D017023:Coronary Angiography; D003331:Coronary Vessels / Q000293:injuries* / Q000503:physiopathology; D004452:Echocardiography; D006325:Heart Atria / Q000503:physiopathology; D006439:Hemodynamics / Q000502:physiology; D006801:Humans; D008297:Male; D008875:Middle Aged; D011311:Pressoreceptors / Q000503:physiopathology