Vondran Maximilian, Ghazy Tamer, Andrási Terezia Bogdana, Graff Jürgen, Rastan Ardawan Julian
Department of Cardiac and Thoracic Vascular Surgery, University Hospital of Giessen and Marburg Campus Marburg, Marburg, Germany.
Department of Cardiac Surgery, Herz-Kreislauf-Zentrum, Rotenburg an der Fulda, Germany.
Thorac Cardiovasc Surg Rep. 2020 Jan;9(1):e11-e14. doi: 10.1055/s-0040-1703006. Epub 2020 Mar 21.
Coronary artery perforation secondary to percutaneous coronary intervention (PCI) is a rare, but a potentially life-threatening complication. There is a misconception that cardiac tamponade rarely occurs in patients with prior coronary artery bypass grafting (CABG). We first describe a giant right ventricular intramural hematoma following PCI via a saphenous vein graft to treat a distal stenosis of the right coronary artery, and its successful treatment with redo cardiac surgery. Complex elective PCIs on patients after CABG should be performed in specialized centers with a well-established heart team that has the expertise to treat any of the potential complications.