Emergency repair of coronary perforation following percutaneous transluminal coronary angioplasty failure: A high-risk choice?
Coronary perforation is a recognized hazard following cardiac catheterization and may lead to a catastrophic outcome. Prompt decision-making following diagnosis is of key importance. Whether to perform prolonged attempts at percutaneous repair or to promptly refer the patient for emergency surgery soon after diagnosis still remains a matter of debate. We report the case of a 78-year-old woman suffering from coronary artery perforation during left anterior descending coronary artery percutaneous transluminal coronary angioplasty-stenting, who underwent unsuccessful multiple prolonged attempts at percutaneous repair followed by subsequent successful emergency surgery.
Simon
Caterina
C
Department of Cardiac Surgery, St Andrea Hospital, University of Rome La Sapienza, Rome, Italy. caterina.simon@hotmail.com
Roscitano
Antonino
A
Capuano
Fabio
F
Bianchini
Roberto
R
Tonelli
Euclide
E
Sinatra
Riccardo
R
D000368:Aged; D015906:Angioplasty, Balloon, Coronary / Q000009:adverse effects*; D019917:Blood Vessel Prosthesis Implantation; D002315:Cardiopulmonary Bypass; D023921:Coronary Stenosis / Q000628:therapy; D003331:Coronary Vessels / Q000293:injuries* / Q000601:surgery; D004638:Emergency Treatment; D005260:Female; D006801:Humans; D007423:Intra-Aortic Balloon Pumping; D007431:Intraoperative Complications / Q000209:etiology / Q000601:surgery; D015607:Stents