Coronary Artery Perforation Spilling into Right Ventricle: A Rare Complication of Percutaneous Coronary Intervention

Aiham H. Jbeli, Prince Sethi, Shawn Kelly, Amol Raizada, Tomasz Stys, Adam Stys

Research output: Contribution to journalArticlepeer-review

1 Scopus citations

Abstract

Injury to the coronary circulation during percutaneous interventions is an existent risk. One of these is coronary artery perforation that can have grave consequences. Fortunately, this is rare and overall there is a declining incidence of complications due to technological advances and extensive experience over time. Predictors of coronary artery perforation include the administration of glycoprotein IIb/IIIa inhibitors, the use of hydrophilic guide wires, and the use of noncompliant high-pressure intracoronary balloons. Complex coronary lesions and the presence of total chronic occlusion are additional risk factors. In this paper, we present a rare class III coronary artery perforation with spilling into the right ventricle. Our case exemplifies all the aforementioned risk factors for perforation. The perforation was successfully sealed with a polytetrafluoroethylene covered stent and the patient remained hemodynamically stable.

Original languageEnglish (US)
Pages (from-to)466-468
Number of pages3
JournalSouth Dakota medicine : the journal of the South Dakota State Medical Association
Volume71
Issue number10
StatePublished - Oct 1 2018
Externally publishedYes

Bibliographical note

Publisher Copyright:
Copyright© South Dakota State Medical Association.

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