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Case Reports
. 2004 Feb;77(2):708-11.
doi: 10.1016/S0003-4975(03)01424-3.

Coronary endarterectomy and stent removal after iatrogenic perforation

Toshihiro Fukui  1 , Shuichiro Takanashi, Wahei Mihara, Kazunori Ishikawa, Yasuyuki Hosoda
Affiliations
Case Reports

Coronary endarterectomy and stent removal after iatrogenic perforation

Toshihiro Fukui et al. Ann Thorac Surg. 2004 Feb.

Abstract

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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