title: Coronary endarterectomy and stent removal after iatrogenic perforation.
abstract: Coronary perforation is a rare complication of percutaneous coronary intervention. We report a case of type 3 coronary artery perforation after stenting of the left anterior descending coronary artery. Pericardiocentesis was required to treat cardiac tamponade and prolonged balloon inflation did not stop the bleeding. Urgent surgical intervention with coronary endarterectomy, removal of the stent, and bypass grafting using the left internal mammary artery to the left anterior descending artery was successful. Complete removal of stent with endarterectomy is a feasible option for perforation as a complication of coronary stenting.
authors.affiliation: Department of Cardiovascular Surgery, Shin-Tokyo Hospital, Chiba, Japan. tm-fukui@gem.hi-ho.ne.jp
authors.forename: Toshihiro
authors.initials: T
authors.lastname: Fukui
authors.forename: Shuichiro
authors.initials: S
authors.lastname: Takanashi
authors.forename: Wahei
authors.initials: W
authors.lastname: Mihara
authors.forename: Kazunori
authors.initials: K
authors.lastname: Ishikawa
authors.forename: Yasuyuki
authors.initials: Y
authors.lastname: Hosoda
mesh_terms: D000368:Aged; D015906:Angioplasty, Balloon, Coronary / Q000009:adverse effects*; D002305:Cardiac Tamponade / Q000000981:diagnostic imaging / Q000601:surgery; D001026:Coronary Artery Bypass; D023921:Coronary Stenosis / Q000000981:diagnostic imaging / Q000601:surgery*; D003331:Coronary Vessels / Q000293:injuries* / Q000601:surgery; D020878:Device Removal; D004691:Endarterectomy / Q000379:methods*; D004868:Equipment Failure; D006801:Humans; D007049:Iatrogenic Disease; D008297:Male; D020519:Pericardiocentesis; D011859:Radiography; D015607:Stents / Q000009:adverse effects*