PERFORATION OF A BYPASS-GRAFT BY STENT-IM PLANTATION - A CASE-REPORT

We describe a case-report on an perforation of an aorto-coronary venou s bypass graft, a complication induced by a stent-implantation. Perfor ations of coronary arteries are rare, however, for interventional card iologists well-known complications. This case report is of special int erest (1) because the perforation did not occur in a coronary artery b ut rather in an eight year old venous bypass graft and (2) because the perforation was induced by a stent-implantation. In addition, this ca se report describes in great detail the management of vessel perforati on: several invasive methods contributed to minimize pericardial effus ion and to stabilize the patient until surgical revision could be perf ormed.