Dardas P S, Tsikaderis D D, Makrigiannakis K, Saripoulos P, Toumbouras M
Department of Cardiology and Cardiac Surgery, Geniki Kliniki, Thessaloniki, Greece.
Cathet Cardiovasc Diagn. 1998 Sep;45(1):61-3. doi: 10.1002/(sici)1097-0304(199809)45:1<61::aid-ccd14>3.0.co;2-o.
Coronary artery perforation is a rare but important complication of percutaneous revascularization (PTCA). Clinical events following coronary perforation may include cardiac tamponade. After bypass graft operation (CABG), however, cardiac tamponade with subsequent hemodynamic instability is unusual due to the development of pericardial adhesions. We report an unusual case of localized tamponade after coronary artery perforation during PTCA in a patient with previous CABG.