Coronary artery perforation and delayed cardiac tamponade following balloon coronary angioplasty
Journal
Journal of the Formosan Medical Association
Journal Volume
95
Journal Issue
10
Pages
789-792
Date Issued
1996
Author(s)
Abstract
A 62-year-old woman who had coronary artery disease and hypertrophic cardiomyopathy received percutaneous transluminal coronary angioplasty and endomyocardial biopsy. She withstood the procedure well. However, delayed pericardial tamponade occurred 2 hours after discharge from the cardiac catheterization laboratory. Despite pericardial drainage with a pigtail catheter and blood transfusion, the patient required emergency surgery. An oozing diagonal branch of the left anterior descending coronary artery was found. Ligation of this small branch stabilized the hemodynamics. Avoidance of improper positioning of the guide wire in the small coronary artery branch is important in preventing arterial wall trauma and subsequent perforation.
Subjects
cardiac tamponade; coronary artery perforation; guide wire trauma; percutaneous transluminal coronary angioplasty
SDGs
Other Subjects
adult; article; case report; coronary artery disease; female; heart muscle biopsy; heart tamponade; human; hypertrophic cardiomyopathy; percutaneous transluminal angioplasty; perforation; transluminal coronary angioplasty; Angioplasty, Transluminal, Percutaneous Coronary; Cardiac Tamponade; Coronary Vessels; Female; Humans; Middle Aged
Type
journal article