[Coronary Artery Perforation Treated with Coronary Artery Bypass Grafting and Coil Embolization:Report of a Case].

Abstract

In recent years, percutaneous coronary intervention( PCI) has become mainstream for the treatment of coronary artery disease, and complications associated with this procedure are increasing accordingly. Coronary perforation, a complication of PCI, is rare but may lead to cardiac tamponade. Once cardiac tamponade occurs, the mortality rate increases. An 88-year-old man underwent coronary angiography that showed perfect right coronary occlusion. Coronary perforation occurred after the deployment of a drug-eluting stent( DES). We could not stop the bleeding despite covered stent implantation. We performed hybrid surgery, coronary artery bypass grafting (CABG) and coil embolization. The patient progressed uneventfully and was discharged on postoperative day 59. The combination of coil embolization and CABG may be an alternative strategy for treating coronary perforation.