Abstract
Coronary artery perforation complicating percutaneous transluminal coronary angioplasty (PTCA) is rare but can be potentially fatal. We report a case of coronary artery dissection and perforation during PTCA that was successfully treated by implanting a bare stent with disappearance of angiographic contrast extravasation and performing one-time pericardiocentesis for unexpected, delayed cardiac tamponade thereby avoiding the need for surgery. The possibility of coronary angiography not detecting a small residual leak from the perforation is also discussed. (J Interven Cardiol 2000; 13:45–50)
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