Coronary artery perforation after directional coronary atherectomy (DCA)

Directional coronary atherectomy (DCA) was performed on a 51-year-old man with unstable angina due to a 90% stenosis of the proximal side of the left anterior descending artery (LAD). A coronary angiography after the DCA showed the coronary artery perforation communicating with the pericardial space...

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Bibliographic Details
Published inKyobu geka. The Japanese journal of thoracic surgery Vol. 48; no. 3; p. 233
Main Authors Yamaguchi, A, Ino, T, Adachi, H, Mizuhara, A, Kawahito, K, Murata, S, Omura, N, Katsuki, T, Saito, M, Kobayashi, N
Format Journal Article
LanguageJapanese
Published Japan 01.03.1995
Subjects
Angina, Unstable - therapy
Atherectomy, Coronary - adverse effects
Cardiac Tamponade - etiology
Cardiac Tamponade - surgery
Coronary Artery Bypass
Coronary Disease - surgery
Coronary Vessels - injuries
Humans
Male
Middle Aged
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Summary:Directional coronary atherectomy (DCA) was performed on a 51-year-old man with unstable angina due to a 90% stenosis of the proximal side of the left anterior descending artery (LAD). A coronary angiography after the DCA showed the coronary artery perforation communicating with the pericardial space. He suffered cardiac tamponade and cardiogenic shock, and was taken to the emergent surgical intervention. The both side of the perforation was ligated to control active bleeding and coronary artery bypass grafting to the distal portion of the LAD was performed. It is stated that the incidence of tamponade resulting from vessel perforation after DCA is extremely rare.
ISSN:0021-5252