title: Failed thrombin treatment due to patent collateral leakage after refractory guidewire-induced coronary artery perforation.
abstract: Ellis class III coronary artery perforation is a rare but catastrophic complication associated with high mortality and poor outcome of percutaneous coronary intervention. We describe a case of coronary artery perforation caused by a stiff hydrophilic guidewire during percutaneous coronary intervention. Leakage from patent collaterals continued despite successful embolism of the perforated artery. Although he underwent cardiac surgery, the patient died due to the rupture of a left ventricular pseudoaneurysm.
authors.affiliation: Dept. of Cardiology, Beijing Anzhen Hospital, Capital Medical University, Beijing, China.
authors.forename: Patricio
authors.initials: P
authors.lastname: Lopes
authors.forename: Edmundo
authors.initials: E
authors.lastname: Lao
authors.forename: Shao-Ping
authors.initials: SP
authors.lastname: Nie
authors.forename: Chang-Sheng
authors.initials: CS
authors.lastname: Ma
mesh_terms: D017023:Coronary Angiography; D003324:Coronary Artery Disease / Q000000981:diagnostic imaging / Q000601:surgery*; D003331:Coronary Vessels / Q000293:injuries*; D006490:Hemostatics / Q000627:therapeutic use; D006801:Humans; D008297:Male; D008875:Middle Aged; D062645:Percutaneous Coronary Intervention / Q000009:adverse effects*; D015607:Stents / Q000009:adverse effects; D013917:Thrombin / Q000627:therapeutic use*; D017211:Treatment Failure; D057772:Vascular System Injuries / Q000000981:diagnostic imaging / Q000188:drug therapy* / Q000209:etiology
chemical_list: D006490:Hemostatics; D013917:Thrombin