Coronary Artery Perforation
Surachet Loetthiraphan MD*,**,***
Affiliation : * Preventive Medicine Department, Srinakarinwirot University, Nakorn Nayok, Thailand ** Philip Wong, Department of Cardiology, National Heart Center *** Koh Tian Hai, Department of Cardiology, National Heart Center
Coronary artery perforation is a rare but dreadful complication; overall incidence is around 0.5-0.9%. This complication can result in potentially life threatening cardiac tamponade and cardiac arrest. Perforation was caused by coronary wire, oversizing or ruptured balloon and stent, especially in the advance of interventional devices and use of antithrombins and antiplatelets. Non-surgical management is successful in most cases, but may required surgical intervention in some cases with pericardial patch.
Keywords : Coronary artery perforation
