Treatment of right ventricular perforation during PCI
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Abstract
Percutaneous coronary intervention (PCI) is a widely used non-surgical procedure to treat stenotic coronary arteries caused by coronary heart disease.1,2 The benefit of PCI to the patient is great, but the procedure is accompanied by risk. Coronary artery perforation is a rare but dreaded complication of PCI, with a reported incidence from 0.12–0.93% and a mortality rate of about 7–41%.3–14

In most cases, the perforation breaks through into the pericardium, which may cause cardiac tamponade.15 Coronary perforation can also involve the cardiac chambers.16 Here we report the successful treatment of a patient with coronary perforation of the right ventricular cavity and provide a brief review of the literature on the treatment of coronary perforation during PCI.

Case report
The patient was a 69-year-old woman with intermittent chest tightness and chest pain over the previous five years. She was hospitalised for severe chest tightness and chest pain persisting for three days. She had a history of hypertension and hyperlipidaemia; the admission examination showed no other abnormalities. Routine blood, urine and stool tests, liver and kidney function, clotting time, electrocardiogram, chest radiography and echocardiography were normal. A diagnosis of coronary artery disease was considered....

https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4763480/
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