Elbistan State Hospital, Kahramanmaras, Turkey.
Cardiol J. 2012;19(6):639-42. doi: 10.5603/cj.2012.0118.
Coronary artery perforations are life-threatening complications with a poor outcome. Historically, if the perforation was not controlled using conservative methods such as prolonged balloon inflation and protamine administration, emergency cardiac surgery has been performed. However, several percutaneous methods including covered stents and embolization materials have emerged as therapeutic options to manage coronary perforations. We report a case of right coronary artery perforation after high pressure stent post-dilatation that was successfully sealed with a polytetrafluoroethylene-covered stent.
冠状动脉穿孔是一种危及生命的并发症，预后不良。历史上，如果穿孔不能通过保守方法控制，如长时间球囊扩张和鱼精蛋白给药，则需要紧急进行心脏手术。然而，已经出现了几种经皮方法，包括带覆盖的支架和栓塞材料，作为治疗冠状动脉穿孔的选择。我们报告了一例高压支架后扩张后发生右冠状动脉穿孔的病例，成功地用聚四氟乙烯覆盖的支架封闭。
