Case Report
Year: 2022 | Month: November | Volume: 9 | Issue: 11 | Pages: 223-225
DOI: https://doi.org/10.52403/ijrr.20221129
Coronary Perforation with Emergence of Cardiac Tamponade During Coronary Intervention - A Cath Lab Nightmare
Keerthika Chowdary Ravella1, MD, DM; Vijaya Pamidimukkala 2, MD, DM; Raghava Sarma Polavarapu3, MD, DM, FACC, FSCAI, FESC, FCSI; Yudhistar Siripuram4, MD, DM; Kalyan Chakravarthi Pulivarthi5, MD, DM; Hima Sanjana Perumalla6, MBBS; Sai Reshma Magam7, MD; Anurag Polavarapu, MD, DM8
1Senior Consultant, Department of Cardiology, Lalitha Super Specialities Hospital, Guntur, Andhra Pradesh -522001, India
2Head of Department, Department of Neurosciences, Lalitha Super Specialities Hospital, Guntur, Andhra Pradesh -522001, India
3Interventional Cardiologist, Head of Department, Department of Cardiology, Lalitha Super Specialities Hospital, Guntur, Andhra Pradesh -522001, India
4Junior Consultant, Department of Cardiology, Lalitha Super Specialities Hospital, Guntur, Andhra Pradesh -522001, India
5Junior Consultant Cardiology, Department of Cardiology, Lalitha Super Specialities Hospital, Guntur, Andhra Pradesh -522001, India
6Physician, Department of General Medicines, Lalitha Super Specialities Hospital, Guntur, Andhra Pradesh -522001, India
7Resident, Internal Medicine, Lalitha Super Specialities Hospital, Guntur, Andhra Pradesh -522001, India
8Senior Resident, Department of Cardiology, Lalitha Super Specialities Hospital, Guntur, Andhra Pradesh -522001, India
Corresponding Author: Dr. Raghava Sarma Polavarapu
ABSTRACT
Coronary perforation is an uncommon complication of percutaneous coronary intervention (PCI), that, in extreme cases, might result in cardiac tamponade. Here, we describe a case of coronary artery perforation in a 55-year-old female, presented with recent inferior wall myocardial infraction (IWMI). Coronary angiogram represented right coronary artery (RCA) lesion which was planned to manage with PCI. During PCI, coronary perforation emerged in RCA, leading to cardiac tamponade. Hence an immediate pericardiocentesis was performed and coronary perforation was tackled successfully using a covered stent.
Keywords: Coronary perforation, percutaneous coronary intervention (PCI), cardiac tamponade, cath lab nightmare.
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