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Right arrow Coronary disease

Ann Thorac Surg 2004;77:708-711
© 2004 The Society of Thoracic Surgeons

Case report

Coronary endarterectomy and stent removal after iatrogenic perforation

Toshihiro Fukui, MD*a, Shuichiro Takanashi, MDa, Wahei Mihara, MDa, Kazunori Ishikawa, MDa, Yasuyuki Hosoda, MDa

a Department of Cardiovascular Surgery, Shin-Tokyo Hospital, Chiba, Japan

Accepted for publication April 18, 2003.

* Address reprint requests to Dr Fukui, Department of Cardiovascular Surgery, Shin-Tokyo Hospital, 473-1 Nemoto, Matsudo City, Chiba 271-0077, Japan
e-mail: tm-fukui{at}gem.hi-ho.ne.jp

Coronary perforation is a rare complication of percutaneous coronary intervention. We report a case of type 3 coronary artery perforation after stenting of the left anterior descending coronary artery. Pericardiocentesis was required to treat cardiac tamponade and prolonged balloon inflation did not stop the bleeding. Urgent surgical intervention with coronary endarterectomy, removal of the stent, and bypass grafting using the left internal mammary artery to the left anterior descending artery was successful. Complete removal of stent with endarterectomy is a feasible option for perforation as a complication of coronary stenting.






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Copyright © 2004 by The Society of Thoracic Surgeons.