Successful nonsurgical treatment of left main stem perforation by sacrifice of the LAD.
We report two cases of coronary artery disease treated percutaneously and including rotational atherectomy, in which the interventional procedure was complicated by left main coronary artery perforation. The management and outcome of this potentially fatal complication are discussed.
Gamma
Reto
R
Department of Cardiology, King's College Hospital, Denmark Hill, London, United Kingdom. retogamma@doctors.org.uk
Thomas
Martyn R
MR
D000368:Aged; D000369:Aged, 80 and over; D015906:Angioplasty, Balloon, Coronary / Q000009:adverse effects* / Q000379:methods; D017225:Atherectomy, Coronary / Q000009:adverse effects; D002114:Calcinosis / Q000150:complications / Q000000981:diagnostic imaging / Q000628:therapy*; D002305:Cardiac Tamponade / Q000209:etiology; D017023:Coronary Angiography / Q000009:adverse effects; D003324:Coronary Artery Disease / Q000150:complications / Q000000981:diagnostic imaging / Q000628:therapy*; D003331:Coronary Vessels / Q000293:injuries* / Q000473:pathology; D005260:Female; D006470:Hemorrhage / Q000150:complications / Q000209:etiology* / Q000628:therapy; D006801:Humans; D011677:Punctures; D015641:Radiography, Interventional / Q000009:adverse effects; D015607:Stents; D016896:Treatment Outcome