Rotational Atherectomy Induced Coronary Perforation of Right Coronary Artery Draining into Middle Cardiac Vein

Amit Hooda; Reza Masoomi; Tarun Jain; Gurpreet S Johal; Nitin Barman; Samin K Sharma

doi:10.1016/j.jaccas.2020.07.020

Rotational Atherectomy Induced Coronary Perforation of Right Coronary Artery Draining into Middle Cardiac Vein

JACC Case Rep. 2020 Sep 15;2(11):1688-1691. doi: 10.1016/j.jaccas.2020.07.020. eCollection 2020 Sep.

Authors

Amit Hooda¹, Reza Masoomi¹, Tarun Jain¹, Gurpreet S Johal¹, Nitin Barman¹, Samin K Sharma¹

Affiliation

¹ Zena and Michael A. Wiener Cardiovascular Institute, Icahn School of Medicine at Mount Sinai, New York, New York.

Abstract

Ellis Type III cavity spilling coronary perforation is a rare complication. We report to our knowledge, the first case of rotational atherectomy induced Type III cavity spilling coronary perforation of right posterior descending artery draining into middle cardiac vein, successfully managed by covered stent deployment. (Level of Difficulty: Advanced.).

Keywords: CP, coronary perforation; CS, cavity spilling; Ellis Type III cavity spilling; RCA, right coronary artery; RPDA, right posterior descending artery; coronary perforation; covered stent; middle cardiac vein; rotational atherectomy.

Publication types

Case Reports