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.

Surgical management of iatrogenic coronary artery perforations: when percutaneous treatment fails / Brega, C.; Pisani, A.; Braham, W.; Nataf, P.. - In: INDIAN JOURNAL OF THORACIC AND CARDIOVASCULAR SURGERY. - ISSN 0970-9134. - 36:3(2020), pp. 231-233. [10.1007/s12055-019-00900-4]

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

Pisani A.
Secondo
Writing – Original Draft Preparation
;
2020

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.
2020
Cath lab; Coronary complication; Coronary perforation
01 Pubblicazione su rivista::01i Case report
Surgical management of iatrogenic coronary artery perforations: when percutaneous treatment fails / Brega, C.; Pisani, A.; Braham, W.; Nataf, P.. - In: INDIAN JOURNAL OF THORACIC AND CARDIOVASCULAR SURGERY. - ISSN 0970-9134. - 36:3(2020), pp. 231-233. [10.1007/s12055-019-00900-4]
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Utilizza questo identificativo per citare o creare un link a questo documento: https://hdl.handle.net/11573/1670373
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