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Perforation of the ramus intermedius and fistula formation with the great cardiac vein

Type III coronary perforations are a lethal complication of percutaneous intervention. While most involve "cavity-spilling", or extravasation of contrast into the pericardial space, a few flow into an anatomic chamber. A case of balloon angioplasty-induced Type III perforation of the ramus...

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Bibliographic Details
Published in:The Journal of invasive cardiology 2009-04, Vol.21 (4), p.E57-E59
Main Authors: Davis, Adam, Tramontano, Anthony F, Marzo, Kevin
Format: Article
Language:English
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Summary:Type III coronary perforations are a lethal complication of percutaneous intervention. While most involve "cavity-spilling", or extravasation of contrast into the pericardial space, a few flow into an anatomic chamber. A case of balloon angioplasty-induced Type III perforation of the ramus intermedius (RI) with iatrogenic fistula formation to the great cardiac vein is presented and, to our knowledge, is the first report involving a perforated RI with a resultant fistula to the great cardiac vein.
ISSN:1557-2501