Published April 7, 2015 | Version v1
Journal article Open

Intra-stent Coronary Perforation: A Race against Time

  • 1. Division of Cardiology, Department of Internal Medicine and Cardiovascular Diseases, Section of Interventional cardiology and hemodynamics, University Hospital “Paolo Giaccone”, Palermo, Italy
  • 2. Division of Cardiology, Department of Internal Medicine and Cardiovascular Diseases, Section of Intensive Coronary Care Unit, University Hospital “Paolo Giaccone”, Palermo, Italy

Description

Coronaric perforation, while representing fortunately a rare complication (incidence among 0.2–0.6 %), it is burdened by a high mortality rate if not properly and promptly treated. We report the case of an intra-stent coronary perforation at the end of revascularization of a non ST elevation myocardial infarction (NSTEMI), followed by immediate impairment of hemodynamic compensation due to significant pericardial effusion and subsequent cardiac tamponade.

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