Postępy w Kardiologii Interwencyjnej

Abstract

1/2012 vol. 8

“Cavity spilling” perforation during recanalisation of the right coronary artery – reocclusion of the recanalised artery as a method of emergency treatment

Post Kardiol Interw 2012; 8, 1 (27): 51–56
Online publish date: 2012/04/12
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Coronary artery perforation is an uncommon but potentially life-threatening complication of percutaneous coronary interventions. We report a case of a 78-year-old patient with “cavity spilling” right coronary artery perforation leading to formation of a fistula with contrast spilling directly to the right ventricle which occurred during recanalisation of the chronically occluded coronary artery. This rare complication was treated with a polytetrafluoroethylene-covered stent graft implanted into the right ventricular artery at the site of the right ventricular branch, followed by reocclusion of the right coronary artery and complete patient recovery. A control coronary angiography after 6 months has been scheduled.
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