A SUCCESSFUL SURGICAL-TREATMENT OF CORONARY PERFORATION ASSOCIATED WITH DIRECTIONAL CORONARY ATHERECTOMY - A CASE-REPORT

Authors
NONOYAMA M TSUCHIDA K KIJIMA M MATSUMOTO S KUROSAWA K
Citation
M. Nonoyama et al., A SUCCESSFUL SURGICAL-TREATMENT OF CORONARY PERFORATION ASSOCIATED WITH DIRECTIONAL CORONARY ATHERECTOMY - A CASE-REPORT, Japanese Circulation Journal, 59(3), 1995, pp. 180-183
Citations number
8
Categorie Soggetti
Cardiac & Cardiovascular System
Journal title
Japanese Circulation Journal → ACNP
ISSN journal
00471828
Volume
59
Issue
3
Year of publication
1995
Pages
180 - 183
Database
ISI
SICI code
0047-1828(1995)59:3<180:ASSOCP>2.0.ZU;2-0
Abstract
We encountered a patient with coronary perforation showing cardiac tam ponade and shock that occurred during debulking by directional coronar y atherectomy. We successfully performed emergent pericardial drainage and aorto-coronary bypass procedures. Bypass surgery is recommended t o avoid perioperative myocardial infarction in cases such as ours sinc e the native coronary artery may be at risk of being occluded or narro wed due to oppression by the hematoma and destroyed intima.