Staff Members - Benha University
Nightmare in interventional cardiology: type-V coronary perforation during primary percutaneous coronary intervention in a patient with anterior ST-segment elevation myocardial infarction
Coronary Artery Disease • 2020
Publication Information
Authors
Ahmed Bendarya, Mohamed Magdya, Amro Madya,
Abdelrahman Ibrahim Abushoukb and Mohamed Salema, aCardiology
Keywords
Not Available
Journal
Coronary Artery Disease
Publisher
Not Available
Volume
Not Available
Issue
Not Available
Pages
Not Available
publication.type
International
Paper Link
Not Available
Supplementary Materials
Not Available
Abstract
Although rare in the stent era, coronary artery perforation
(CAP) may cause myocardial infarction, repeat percutaneous
coronary intervention (PCI), or even death in
5–10% of cases (depending on the severity of the perforation)
[1]. Here, we present a case of type-V CAP complicating
primary PCI for anterior ST-segment elevation
myocardial infarction.
A 48-year-old man with history of diabetes mellitus
presented with acute progressive chest pain of 12-hour
duration. ECG showed evidence of anterior ST-segment
elevation myocardial infarction. He underwent primary
PCI (door to device time: 60 minutes) with implantation
of two overlapping drug-eluting stents (2.5 × 18 mm
distally and 2.75 × 22 mm proximally) to the left anterior
descending artery (LAD). The patient’s chest pain
disappeared, and he was hemodynamically stable with
blood pressure of 130/80 mmHg. Angiography showed
satisfactory stent results, but minor contrast extravasation
was observed in the distal LAD segment
(CAP) may cause myocardial infarction, repeat percutaneous
coronary intervention (PCI), or even death in
5–10% of cases (depending on the severity of the perforation)
[1]. Here, we present a case of type-V CAP complicating
primary PCI for anterior ST-segment elevation
myocardial infarction.
A 48-year-old man with history of diabetes mellitus
presented with acute progressive chest pain of 12-hour
duration. ECG showed evidence of anterior ST-segment
elevation myocardial infarction. He underwent primary
PCI (door to device time: 60 minutes) with implantation
of two overlapping drug-eluting stents (2.5 × 18 mm
distally and 2.75 × 22 mm proximally) to the left anterior
descending artery (LAD). The patient’s chest pain
disappeared, and he was hemodynamically stable with
blood pressure of 130/80 mmHg. Angiography showed
satisfactory stent results, but minor contrast extravasation
was observed in the distal LAD segment