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  • Title: Emergency repair of coronary perforation following percutaneous transluminal coronary angioplasty failure: A high-risk choice?
    Author: Simon C, Roscitano A, Capuano F, Bianchini R, Tonelli E, Sinatra R.
    Journal: J Cardiovasc Med (Hagerstown); 2006 May; 7(5):365-7. PubMed ID: 16645417.
    Abstract:
    Coronary perforation is a recognized hazard following cardiac catheterization and may lead to a catastrophic outcome. Prompt decision-making following diagnosis is of key importance. Whether to perform prolonged attempts at percutaneous repair or to promptly refer the patient for emergency surgery soon after diagnosis still remains a matter of debate. We report the case of a 78-year-old woman suffering from coronary artery perforation during left anterior descending coronary artery percutaneous transluminal coronary angioplasty-stenting, who underwent unsuccessful multiple prolonged attempts at percutaneous repair followed by subsequent successful emergency surgery.
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