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Case Report

JCDR. 2013; 4(4): 245-247


Successful management of Ellis type III left anterior descending artery perforation following percutaneous coronary intervention by a covered stent: Successfully resolved the dramatic complication

Sunil Kumar Srinivas, Soumya Patra, Rangaraj Ramalingam, Navin Agrawal, Tanveer Syed, Ravindranath K. Shankarappa, Cholenahalli Nanjappa Manjunath.


Abstract

Coronary artery perforation is a rare but catastrophic complication of percutaneous coronary intervention
(PCI). Grade III coronary perforation and rupture invariably results in pericardial effusion and
tamponade requiring urgent pericardiocentesis. Advances in coronary intervention have increased the
opportunity to treat coronary artery perforation. We are reporting a case of 55 years old hypertensive
female who presented with effort angina. Coronary angiogram revealed significant stenosis in the left
anterior descending coronary artery. Post PCI, she had Ellis type III coronary perforation and pericardial
tamponade and cardiogenic shock. The patient was resuscitated, pericardiocentesis done, autologous
blood transfusion given and covered stent deployed.

Key words: Coronary artery Perforation Pericardial tamponade Percutaneous coronary intervention Covered stent






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