eISSN: 1897-4295
ISSN: 1734-9338
Advances in Interventional Cardiology/Postępy w Kardiologii Interwencyjnej
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SCImago Journal & Country Rank
1/2012
vol. 8
 
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abstract:

“Cavity spilling” perforation during recanalisation of the right coronary artery – reocclusion of the recanalised artery as a method of emergency treatment

Marek Kurianowicz
,
Tomasz Zapolski
,
Robert Wróbel
,
Jakub Drozd

Post Kardiol Interw 2012; 8, 1 (27): 51–56
Online publish date: 2012/04/12
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Coronary artery perforation is an uncommon but potentially life-threatening complication of percutaneous coronary interventions. We report a case of a 78-year-old patient with “cavity spilling” right coronary artery perforation leading to formation of a fistula with contrast spilling directly to the right ventricle which occurred during recanalisation of the chronically occluded coronary artery. This rare complication was treated with a polytetrafluoroethylene-covered stent graft implanted into the right ventricular artery at the site of the right ventricular branch, followed by reocclusion of the right coronary artery and complete patient recovery. A control coronary angiography after 6 months has been scheduled.
keywords:

perforation, coronary artery fistula, cavity spilling, stent graft

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