Left main coronary artery perforation during percutaneous coronary intervention in a patient with noninfectious aortitis.
Noninfectious aortitis is increasingly recognized as an important cause of aortic aneurysms and dissection. Coronary involvement in noninfectious aortitis has been reported in several case reports and is marked by a high mortality. Here, we describe the case of a 72-year-old patient suffering from aortitis with involvement of the left main coronary artery trunk, who underwent percutaneous coronary intervention (PCI), which was complicated by left coronary artery perforation. Active inflammatory disease of the vessel wall may cause excessive tissue frailty and therefore has to be considered as a risk factor for perforation during PCI.
Division of Cardiology, Department of Medical Specialties, University Hospital and Medical Faculty, Geneva, Switzerland.
Nicolas B
NB
Dayal
Division of Clinical Immunology, Department of Medical Specialties, University Hospital and Medical Faculty, Geneva, Switzerland.
Ilias
I
Lazarou
Division of Cardiology, Department of Medical Specialties, University Hospital and Medical Faculty, Geneva, Switzerland.
David
D
Carballo
Division of Clinical Immunology, Department of Medical Specialties, University Hospital and Medical Faculty, Geneva, Switzerland.
Jörg D
JD
Seebach
Division of Cardiology, Department of Medical Specialties, University Hospital and Medical Faculty, Geneva, Switzerland.
Marco
M
Roffi
D000368:Aged; D001025:Aortitis / Q000150:complications* / Q000175:diagnosis; D017023:Coronary Angiography; D003331:Coronary Vessels / Q000000981:diagnostic imaging / Q000293:injuries*; D054855:Drug-Eluting Stents; D006335:Heart Injuries / Q000175:diagnosis / Q000209:etiology* / Q000628:therapy; D006801:Humans; D008279:Magnetic Resonance Imaging; D008297:Male; D062645:Percutaneous Coronary Intervention / Q000009:adverse effects* / Q000295:instrumentation; D049268:Positron-Emission Tomography; D057772:Vascular System Injuries / Q000175:diagnosis / Q000209:etiology* / Q000628:therapy