A Successful Surgical Treatment of Coronary Perforation Associated with Directional Coronary Atherectomy. A Case Report.
- 1 January 1995
- journal article
- case report
- Published by Japanese Circulation Society in Japanese Circulation Journal
- Vol. 59 (3) , 180-183
- https://doi.org/10.1253/jcj.59.180
Abstract
We encountered a patient with coronary perforation showing cardiac tamponade and shock that occurred during debulking by directional coronary atherectomy. We successfully performed emergent pericardial drainage and aorto-coronary bypass procedures. Bypass surgery is recommended to avoid perioperative myocardial infarction in cases such as ours since the native coronary artery may be at risk of being occluded or narrowed due to oppression by the hematoma and destroyed intima.Keywords
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