title: Successful nonsurgical treatment of left main stem perforation by sacrifice of the LAD.
abstract: 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.
authors.affiliation: Department of Cardiology, King's College Hospital, Denmark Hill, London, United Kingdom. retogamma@doctors.org.uk
authors.forename: Reto
authors.initials: R
authors.lastname: Gamma
authors.forename: Martyn R
authors.initials: MR
authors.lastname: Thomas
mesh_terms: 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