The successful management of type III coronary perforation

The coronary artery perforation during percutaneous coronary intervention is a nightmare for interventional cardiologists and is always hard to manage timely and properly. We present a 60-year-old male with periprocedural coronary perforation during ST-segment elevation myocardial infarction. A coronary balloon was inflated in the proximal left anterior descending (LAD) artery just after perforation and the 600 cc of hemorrhagic fluid was drained with the pericardial drainage set. The covered stent was deployed in the LAD and he was discharged on the 7th day. At an 18-month follow-up, he is on dual-antiplatelet therapy and the exercise stress test shows no ischemic changes.

Tip III Koroner Perforasyonun Baþarýlý Bir Þekilde Yönetimi

Perkütan koroner giriþim sýrasýnda koroner perforasyon giriþimsel kardiyologlar için bir kabustur ve her zaman zamanýnda ve uygun biçimde yönetimi zordur. ST-segment elevasyonlu myokard infarktüsü sýrasýnda peri-prosedürel koroner perforasyon geliþen 60 yaþýnda bir erkek hastayý sunuyoruz. Perforasyondan hemen sonra koroner balon, sol anterior inen arterin (LAD) proksimalinde þiþirildi ve perikardiyosentez seti ile 600 cc hemorajik sývý drene edildi. Kaplý stent LAD’ye yerleþtirildi ve hasta 7.günde taburcu edildi. 18. ay kontrolünde, hasta ikili antiplatelet tedavi altýndadýr ve egzersiz stres testi iskemi saptamamýþtýr. (NCI-2020-0360.R1)