Journal of Medical Cases, ISSN 1923-4155 print, 1923-4163 online, Open Access
Article copyright, the authors; Journal compilation copyright, J Med Cases and Elmer Press Inc
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Case Report

Volume 8, Number 3, March 2017, pages 77-80

Repair of Coronary Artery Perforation Into the Left Ventricle Using Graftmaster Stent Graft After Complicated Percutaneous Coronary Intervention of Myocardial Bridge


Figure 1.
Figure 1. Dynamic compression of the tunneled segment of the mid left anterior descending (LAD) coronary artery during systole (a) with complete reverse during diastole (b).
Figure 2.
Figure 2. Deployment of 3 × 20 mm Promus Promier stent in the tunneled segment of the mid-left anterior descending (LAD) coronary artery with resolution of the myocardial bridge (black arrow).
Figure 3.
Figure 3. Post-intervention angiogram revealed a focal free perforation in the distal part of the stented segment with contrast entering into the left ventricular cavity.
Figure 4.
Figure 4. Left coronary angiography after deployment of the stent graft confirmed a successful repair of perforation with an absence of extravasation of contrast from the coronary artery.


Table 1. All Reported Cases of Myocardial Bridge Perforation After Coronary Artery Intervention Since 1997 to the Present
AuthorYearPatient demographicTarget coronary arteryComplication/perforationRescueIVUS before stenting
Intravascular ultrasound (IVUS) before stent implantation was not clearly mentioned in some studies.
Hering et al [15]199747 years, maleLADFistula to RVClosed spontaneouslyNo
Berry et al [18]200267 years, femaleLADTo the pericardiumBalloon inflation to CABGNo
Demin [20]2003Not reportedLADTo the pericardiumPTFE covered stentNo
Li et al [3]200844 years, maleLADTo the pericardiumBalloon stentNo
Li et al [3]200854 years, femaleLADTo the pericardiumCABG after failure of stent balloonNo
Shen et al [2]200975 years, femaleLADCavity spillingPTFE-covered stentUnknown
Zhang et al [14]201046 years, femaleLADTo the pericardiumPTFE-covered stentYes after perforation
Tomasevic et al [19]201136 years, maleLADFistula to RVPTFE-covered stentNo
Ernst et al [13]2013Not mentionedLADTo the pericardiumGraftmaster stent graftNo
Ekici et al [17]201474 years, maleLADTo the pericardiumBalloon stentNo
Becher et al [16]201575 years, not mentionedLADFistula to RVPTFE-covered stentUnknown