Anaesthesia management of coronary artery perforation during Percutaneous Coronary Intervention (PCI)

Abstract

Percutaneous Coronary Intervention (PCI) is an accepted modality of treatment in patient with coronary artery disease. Coronary artery perforation is very rare but serious complication that can occur while performing PCI. We describe two cases of coronary perforation while performing PCI. In first case, coronary perforation could not be sealed with coronary stent and required emergency surgery. And in second case, we were able to seal the coronary perforation with stent and avoid surgery. Coronary artery perforation requires team approach by cardiologist, anaesthesiologist and surgeon for early recovery and good outcome.