title: Successful management of grade III coronary perforation after percutaneous angioplasty in a high-risk patient: a case report.
abstract: Coronary perforation is a rare complication in patients undergoing percutaneous coronary angioplasty. The mortality of this complication varies depending on factors related to the patient and the procedure performed, reaching 44% in patients with Ellis type III perforation. We report the case of an 81 year old male with multiple cardiovascular risk factors, who underwent percutaneous angioplasty for unstable angina management. The patient developed grade III coronary perforation in the anterior descending artery, which was successfully managed with balloon inflation to 6 atmospheres for 10 minutes twice in the affected area, with an interval of 5 minutes between each dilatation. The patient improved and was discharged.
authors.affiliation: Clínica San Borja, Lima, Perú. Address: Las Vascongadas, Manzana H, Lote 14, Los Girasoles de la Molina, Lima, Perú. Email: renatobeas@gmail.com.
authors.forename: Ricardo
authors.initials: R
authors.lastname: Coloma Araniya
authors.affiliation: Escuela de Medicina, Universidad Peruana de Ciencias Aplicadas, Lima, Perú
authors.forename: Renato
authors.initials: R
authors.lastname: Beas
authors.affiliation: Escuela de Medicina, Universidad Peruana de Ciencias Aplicadas, Lima, Perú
authors.forename: Jesús
authors.initials: J
authors.lastname: Maticorena-Quevedo
authors.affiliation: Escuela de Medicina, Universidad Peruana de Ciencias Aplicadas, Lima, Perú
authors.forename: Alexander
authors.initials: A
authors.lastname: Anduaga-Beramendi
authors.affiliation: Clínica San Borja, Lima, Perú
authors.forename: Marco Antonio
authors.initials: MA
authors.lastname: Pastrana Castillo
mesh_terms: D000369:Aged, 80 and over; D000789:Angina, Unstable / Q000628:therapy*; D015906:Angioplasty, Balloon, Coronary / Q000009:adverse effects / Q000379:methods*; D003331:Coronary Vessels / Q000293:injuries*; D006335:Heart Injuries / Q000209:etiology / Q000628:therapy; D006801:Humans; D008297:Male; D012307:Risk Factors; D013997:Time Factors; D016896:Treatment Outcome
keywords: angioplasty; balloon; coronary; heart injuries; percutaneous coronary intervention