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Reviews in Cardiovascular Medicine (RCM) is published by IMR Press from Volume 19 Issue 1 (2018). Previous articles were published by another publisher in Open Access under a CC-BY (or CC-BY-NC-ND) licence, and they are hosted by IMR Press on imrpress.com as a courtesy and upon agreement with MedReviews, LLC.
Open Access
Case Review
Left Main Coronary Artery Perforation During Percutaneous Coronary Intervention in a Patient With Noninfectious Aortitis
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1
Division of Cardiology, Department of Medical Specialties, University Hospital and Medical Faculty, Geneva, Switzerland
2
Division of Clinical Immunology, Department of Medical Specialties, University Hospital and Medical Faculty, Geneva, Switzerland
Rev. Cardiovasc. Med. 2014, 15(1), 66–70;
https://doi.org/10.3909/ricm0708
Published: 30 March 2014
Abstract
Noninfectious aortitis is increasingly recognized as an important cause of aortic aneurysms and dissection. Coronary involvement in noninfectious aortitis has been reported in several case reports and is marked by a high mortality. Here, we describe the case of a 72-year-old patient suffering from aortitis with involvement of the left main coronary artery trunk, who underwent percutaneous coronary intervention (PCI), which was complicated by left coronary artery perforation. Active inflammatory disease of the vessel wall may cause excessive tissue frailty and therefore has to be considered as a risk factor for perforation during PCI.
Keywords
Arteritis
Giant cell arteritis
Coronary perforation
Noninfectious aortitis