title: Perforation of the ramus intermedius and fistula formation with the great cardiac vein.
abstract: 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.
authors.affiliation: Winthrop-University Hospital and SUNY Stony Brook School of Medicine, Mineola, New York, USA. ad0531dr@yahoo.com
authors.forename: Adam
authors.initials: A
authors.lastname: Davis
authors.forename: Anthony F
authors.initials: AF
authors.lastname: Tramontano
authors.forename: Kevin
authors.initials: K
authors.lastname: Marzo