Sudden death three days after DCA caused by acute myocardial infarction secondary to coronary perforation

Academic Article


  • A case of late (3 days) coronary perforation of the coronary wall adjacent to the myocardium, subsequent to DCA, causing acute myocardial infarction (AMI) and eventual death of the patient is presented. Clinical and anatomopathological correlation of this case teaches us: 1) some lesions that angiographically seem to be concentric, are anatomically eccentric; 2) intravascular ultrasound (IVUS) evaluation before the DCA in these situations might be particularly useful; 3) selective cutting of eccentric lesions is not only desirable but mandatory to prevent this complication of DCA; 4) perforation of the coronary wall adjacent to the myocardium may cause delayed critical complications.
  • Authors

    Author List

  • Yamada T; Hirayama H; Tsuji Y; Nanasato M; Tsukagawa T; Yoshida Y; Inden Y; Yamada K; Miwata S; Tsuboi N
  • Start Page

  • 318
  • End Page

  • 323
  • Volume

  • 10
  • Issue

  • 3