ENCAPSULATE CORONARY-ARTERY RUPTURE AFTER STENTING

We report a case of coronary encapsulated rupture following stent impl antation in the distal anastomosis of a saphenous by-pass graft to the left anterior descending coronary artery that evolved well with conse rvative treatment. The patient did not require pericardiocentesis and was treated with prolonged inflations with low pressure autoperfusion balloon at the rupture point. Pericardial adherences related to a prev ious coronary surgery probably limited the bleeding process avoiding h emodynamic collapse.