Severe left atrium compression after percutaneous coronary intervention with perforation of a circumflex branch of the left coronary artery.
Coronary artery perforation is a rare complication of percutaneous coronary intervention, but can result in cardiac tamponade and is thus potentially life-threatening. This report describes a rare case of epimyocardial haematoma formation after coronary perforation resulting in a functional mitral stenosis in a patient with coronary bypass grafting in his history. Coronary artery perforations in patients who had previously undergone a coronary bypass grafting procedure, may lead to uncommon haematoma localizations with significant functional implications. A rapid surgical intervention can be life saving.
Krabatsch
Thomas
T
German Heart Institute Berlin, Augustenburger Platz 1, D-13353 Berlin, Germany.
Becher
Daniel
D
Schweiger
Martin
M
Hetzer
Roland
R
D000368:Aged; D015906:Angioplasty, Balloon, Coronary / Q000009:adverse effects*; D006348:Cardiac Surgical Procedures; D002305:Cardiac Tamponade / Q000175:diagnosis / Q000209:etiology* / Q000601:surgery; D001026:Coronary Artery Bypass / Q000009:adverse effects; D003324:Coronary Artery Disease / Q000601:surgery; D003331:Coronary Vessels / Q000293:injuries* / Q000601:surgery; D004452:Echocardiography; D006083:Graft Occlusion, Vascular / Q000209:etiology / Q000628:therapy*; D006325:Heart Atria / Q000473:pathology; D006406:Hematoma / Q000175:diagnosis / Q000209:etiology* / Q000601:surgery; D006801:Humans; D008297:Male; D008946:Mitral Valve Stenosis / Q000175:diagnosis / Q000209:etiology* / Q000601:surgery; D014057:Tomography, X-Ray Computed; D016896:Treatment Outcome; D014950:Wounds, Penetrating / Q000175:diagnosis / Q000209:etiology* / Q000601:surgery