title: Persistent type III cavity-spilling coronary perforation due to covered stent malapposition.
abstract: Coronary perforations are a rare but potentially catastrophic complication of percutaneous coronary intervention. We report a rare case of a large cavity-spilling perforation from the left anterior descending coronary artery into the left ventricle, which was successfully treated with a covered stent. However, repeating angiography 1 week later demonstrated persistence of the perforation due to stent malapposition.
authors.affiliation: MonashHEART, Monash Medical Centre, Southern Health, 246 Clayton Road, Clayton, VIC, 3168, Australia. drliammccormick@doctors.org.uk.
authors.forename: Liam M
authors.initials: LM
authors.lastname: McCormick
authors.affiliation: MonashHEART, Monash Medical Centre, Southern Health, 246 Clayton Road, Clayton, VIC, 3168, Australia.
authors.forename: Brian S
authors.initials: BS
authors.lastname: Ko
authors.affiliation: MonashHEART, Monash Medical Centre, Southern Health, 246 Clayton Road, Clayton, VIC, 3168, Australia.
authors.forename: Sarah
authors.initials: S
authors.lastname: Zaman
authors.affiliation: MonashHEART, Monash Medical Centre, Southern Health, 246 Clayton Road, Clayton, VIC, 3168, Australia.
authors.forename: Wally
authors.initials: W
authors.lastname: Ahmar
authors.affiliation: MonashHEART, Monash Medical Centre, Southern Health, 246 Clayton Road, Clayton, VIC, 3168, Australia.|MonashHEART, Monash Medical Centre, Monash Health and Monash University, Melbourne, Australia.
authors.forename: Ian T
authors.initials: IT
authors.lastname: Meredith
mesh_terms: D017023:Coronary Angiography; D003331:Coronary Vessels / Q000000981:diagnostic imaging / Q000293:injuries* / Q000601:surgery; D005260:Female; D006801:Humans; D008875:Middle Aged; D009203:Myocardial Infarction / Q000175:diagnosis / Q000601:surgery*; D062645:Percutaneous Coronary Intervention / Q000009:adverse effects*; D012086:Reoperation; D015607:Stents / Q000009:adverse effects*; D018084:Ultrasonography, Interventional; D057772:Vascular System Injuries / Q000175:diagnosis / Q000209:etiology*
keywords: Cavity-spilling perforation; Malapposition; PTFE-covered stent