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Conservative management of contained coronary perforation after percutaneous intervention.
Authors:Patrick E Owens  Joseph G Motwani
Institution:Department of Cardiology, Derriford Hospital, Plymouth, United Kingdom. powens@globalnet.co.uk
Abstract:Contained perforation of the coronary artery may occur following coronary intervention and is generally managed aggressively with acute percutaneous or surgical intervention. We report a case of contained perforation following intervention on an occluded right coronary artery, leading to lumenal compression by perivascular hematoma and reduced distal flow. This was managed conservatively with an excellent clinical and angiographic outcome.
Keywords:stent  rupture  hematoma  treatment
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