Published on:
    Journal of Cardiovascular Disease Research, 2013; 4(4):245-247
    Clinical Case Reports Based Study | doi:10.1016/j.jcdr.2014.01.003

    Successful management of Ellis type III left anterior descending artery perforation following percutaneous coronary intervention by a covered stent: Successfully resolved the dramatic complication

    Authors:

    Sunil Kumar Srinivas, Soumya Patra*, Rangaraj Ramalingam, Navin Agrawal, Tanveer Syed, Ravindranath K. Shankarappa, Cholenahalli Nanjappa Manjunath

    Department of Cardiology, Sri Jayadeva Institute of Cardiovascular Sciences & Research, Bangalore, Karnataka 560069, India

    Abstract:

    Coronary artery perforation is a rare but catastrophic complication of percutaneous coronary intervention (PCI). Grade III coronary perforation and rupture invariably results in pericardial effusion and tamponade requiring urgent pericardiocentesis. Advances in coronary intervention have increased the opportunity to treat coronary artery perforation. We are reporting a case of 55 years old hypertensive female who presented with effort angina. Coronary angiogram revealed significant stenosis in the left anterior descending coronary artery. Post PCI, she had Ellis type III coronary perforation and pericardial tamponade and cardiogenic shock. The patient was resuscitated, pericardiocentesis done, autologous blood transfusion given and covered stent deployed.

    Key words: Coronary artery. Perforation. Pericardial tamponade. Percutaneous coronary intervention. Covered stent.