Abstract

ORONARY artery perforation (CAP) is a rare, catastrophic complication of percutaneous coronary intervention (PCI). CAP during PCI procedure is invariably associated with high risk patients with complex coronary artery disease such as coronary calcified lesions, multi-vessel lesions, coronary chronic total occlusion and so on, with an incidence of 0.1%-3.0%. 1-3 However, in the event of occurrence, the condition is extremely serious and fatal. If detection and therapy is not timely and efficacy, acute cardiac tamponade, cardiac arrest and other life-threatening complications will be rapidly developed. 4, 5 The overall mortality rate of CAP is up to 5%-10%. 6, 7 In this article, we refer to two cases of CAP during PCI procedures to mean to display a special new phenomenon of CAP that complicated with acute aortic valve regurgitation.

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