Perforation of the ramus intermedius and fistula formation with the great cardiac vein.
Type III coronary perforations are a lethal complication of percutaneous intervention. While most involve "cavity-spilling", or extravasation of contrast into the pericardial space, a few flow into an anatomic chamber. A case of balloon angioplasty-induced Type III perforation of the ramus intermedius (RI) with iatrogenic fistula formation to the great cardiac vein is presented and, to our knowledge, is the first report involving a perforated RI with a resultant fistula to the great cardiac vein.
Davis
Adam
A
Winthrop-University Hospital and SUNY Stony Brook School of Medicine, Mineola, New York, USA. ad0531dr@yahoo.com
Tramontano
Anthony F
AF
Marzo
Kevin
K