Coronary Artery Perforation Resulting in a Loculated Extracardiac Hematoma: The Pressures to Intervene

David O'Sullivan; Robert O'Dowling; Crochan J O'Sullivan

doi:10.1016/j.jaccas.2022.01.021

Coronary Artery Perforation Resulting in a Loculated Extracardiac Hematoma: The Pressures to Intervene

JACC Case Rep. 2022 Apr 6;4(7):406-410. doi: 10.1016/j.jaccas.2022.01.021.

Authors

David O'Sullivan¹, Robert O'Dowling², Crochan J O'Sullivan³

Affiliations

¹ Mater Misericordiae University Hospital, Dublin, Ireland.
² Guy's and St Thomas's NHS Foundation Trust, London, United Kingdom.
³ Bons Secours Hospital, Cork, Ireland.

Abstract

We describe the case of an 86-year-old man with an extensive cardiac history, including previous coronary artery bypass grafting, who experienced a delayed extracardiac hematoma, 350 mL in volume, after retrograde chronic total occlusion-percutaneous coronary intervention. The patient was successfully treated with resultant liquefaction of the hematoma. (Level of Difficulty: Advanced.).

Keywords: CABG, coronary artery bypass graft; CAD, coronary artery disease; CAP, coronary artery perforation; CTO, chronic total occlusion; LCx, left circumflex artery; LMS, left main stem; OM1, obtuse marginal artery; PCI, percutaneous coronary intervention; SVG, saphenous vein graft; cardiac magnetic resonance; complication; computed tomography; echocardiography; percutaneous coronary intervention.

Publication types

Case Reports