An Iatrogenic Coronary Arteriovenous Fistula Caused by Guidewire Trauma during Percutaneous Coronary Intervention.
- Author:
Se Won OH
1
;
Young Joong KIM
;
Jong Gu LIM
;
Woong Gil CHOI
Author Information
1. Division of Cardiology, Department of Internal Medicine, Kunkuk University Chungju Hospital, Kunkuk Uiversity College of Medicine, Chungju, Korea. gilll@paran.com
- Publication Type:Case Report
- Keywords:
Percutaneous transluminal coronary angioplasty;
Arteriovenous fistula
- MeSH:
Angioplasty, Balloon, Coronary;
Arteriovenous Fistula;
Chest Pain;
Coronary Angiography;
Fistula;
Humans;
Middle Aged;
Percutaneous Coronary Intervention
- From:Korean Journal of Medicine
2012;82(3):337-340
- CountryRepublic of Korea
- Language:English
-
Abstract:
We report the case of a 51-year-old man who presented with worsening exertional chest pain in whom subsequent percutaneous coronary intervention resulted in a coronary arteriovenous fistula. Fortunately, the patient was stable and coronary angiography revealed resolution of the fistula 20 minutes later. This case study emphasizes the management of iatrogenic coronary perforations, depending on the type and severity of perforation, which generally involves initial conservative management.
