Coronary artery perforation by cutting balloon resulting in dissecting subepicardial hematoma and avulsion of the vasculature.
We report a case of perforation caused by cutting balloon angioplasty of in-stent restenosis in a saphenous vein coronary bypass graft. This was complicated by a subepicardial hematoma leading to avulsion of the penetrating arteries and cardiogenic shock. Despite surgical evacuation and percutaneous left ventricular assist-device support, death ensued.
Quan
Vu H
VH
Cardiovascular Division, Brigham and Women's Hospital, Boston, Massachusetts 02115, USA.
Stone
James R
JR
Couper
Gregory S
GS
Rogers
Campbell
C
D000368:Aged; D000800:Angioplasty, Balloon / Q000009:adverse effects*; D017023:Coronary Angiography; D001026:Coronary Artery Bypass; D023921:Coronary Stenosis / Q000628:therapy*; D003331:Coronary Vessels / Q000293:injuries*; D017809:Fatal Outcome; D006406:Hematoma / Q000209:etiology* / Q000601:surgery; D006801:Humans; D008297:Male