ST-elevation myocardial infarction caused by coronary artery compression due to localized pericardial hematoma caused by coronary perforation.
Coronary perforation is a rare but serious complication of percutaneous coronary intervention (PCI). We report a case of coronary perforation during PCI in a post cardiac surgery patient presenting as unusual ST-segment elevation myocardial infarction, secondary to compression of an epicardial artery by a localized hematoma, secondary to coronary perforation by the guidewire.
Cardiology Department, Soroka Medical Center, Faculty of Health Sciences, Ben Gurion University of the Negev, Beer Sheva, Israel.
Carlos
C
Cafri
Aryeh
A
Shalev
Doron
D
Zahger
D000368:Aged; D015906:Angioplasty, Balloon, Coronary / Q000009:adverse effects*; D017023:Coronary Angiography; D003331:Coronary Vessels / Q000293:injuries; D006406:Hematoma / Q000150:complications* / Q000209:etiology; D006801:Humans; D008297:Male; D009203:Myocardial Infarction / Q000209:etiology*; D010496:Pericardium