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Surgical management of iatrogenic coronary artery perforations: when percutaneous treatment fails

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Indian Journal of Thoracic and Cardiovascular Surgery Aims and scope Submit manuscript

Abstract

Coronary perforation is a rare complication of percutaneous coronary interventions and a challenging scenario which imposes prompt recognition and treatment. Although it may be successfully managed percutaneously, a surgical treatment may be preferable in some cases. We report the case of a patient with a coronary perforation with initial percutaneous treatment complicated with extravascular implantation of a covered stent and liver laceration, who was succesfully treated by cardiac surgery. This case suggests the importance of the proximity of an onsite cardiac surgery center when complex coronary artery percutaneous interventions are performed in hospitals with offsite surgical support.

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Authors and Affiliations

  1. Department of Cardiac Surgery, Hôpital Bichat-Claude-Bernard, 46 rue Huchard, Paris, France

    Carlotta Brega, Angelo Pisani, Wael Braham & Patrick Nataf

Authors
  1. Carlotta Brega
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  2. Angelo Pisani
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  3. Wael Braham
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  4. Patrick Nataf
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Correspondence to Carlotta Brega.

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written consent was obtained from the patient involved.

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As it’s a retrospective case report, no ethical committee was required.

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This article is a case report regarding human participant and it does not contain any studies with animals performed by any of the authors.

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Brega, C., Pisani, A., Braham, W. et al. Surgical management of iatrogenic coronary artery perforations: when percutaneous treatment fails. Indian J Thorac Cardiovasc Surg 36, 231–233 (2020). https://doi.org/10.1007/s12055-019-00900-4

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  • DOI: https://doi.org/10.1007/s12055-019-00900-4

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