Left internal mammary artery graft perforation due to high-pressure stent deployment

Mohsen Sharifi, Mark W. Turrentine, Yousuf Mahomed, Vincent J. Pompili, James C. Dillon

Research output: Contribution to journalArticle

9 Scopus citations

Abstract

Perforation of newly placed left internal mammary artery (LIMA) grafts due to stent deployment is an infrequent but potentially dangerous complication of coronary interventions. It may lead to brisk hemorrhage and massive cardiac tamponade requiring emergent pericardiocentesis and surgery. We report a case of a LIMA graft perforation following stent deployment with a high-pressure balloon 12 days after surgery. The patient was treated with emergent pericardiocentesis, rapid autotransfusion of the pericardial aspirate into the systemic circulation, and surgical repair of the ruptured vessel.

Original languageEnglish (US)
Pages (from-to)199-202
Number of pages4
JournalCatheterization and Cardiovascular Interventions
Volume47
Issue number2
DOIs
Publication statusPublished - Jun 1 1999

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Keywords

  • Coronary perforation
  • LIMA graft perforation
  • Pericardial tamponade
  • Stent complication

ASJC Scopus subject areas

  • Radiology Nuclear Medicine and imaging
  • Cardiology and Cardiovascular Medicine

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