{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,7,30]],"date-time":"2025-07-30T11:51:04Z","timestamp":1753876264806,"version":"3.41.2"},"reference-count":11,"publisher":"Oxford University Press (OUP)","issue":"11","license":[{"start":{"date-parts":[[2021,11,8]],"date-time":"2021-11-08T00:00:00Z","timestamp":1636329600000},"content-version":"vor","delay-in-days":7,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2021,11,1]]},"abstract":"<jats:title>Abstract<\/jats:title>\n               <jats:sec>\n                  <jats:title>Background<\/jats:title>\n                  <jats:p>Patients who undergo coronary artery bypass graft (CABG) surgery rarely develop global pericardial tamponade due to pericardial adhesions. There are no reports of multiple coronary artery perforations following global pericardial tamponade during percutaneous coronary intervention (PCI) in these patients.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Case summary<\/jats:title>\n                  <jats:p>A 52-year-old male who underwent CABG surgery developed effort angina pectoris. Coronary angiography demonstrated chronic total occlusion (CTO) of the first diagonal branch with severe stenosis of the second diagonal branch. Because his chest pain did not improve with medical therapy and ischaemia of the left ventricular anterolateral wall was confirmed by myocardial scintigraphy, PCI was performed. The second diagonal branch stenosis was passed anterogradely by a 0.014-inch coronary angioplasty guidewire, while the first diagonal branch CTO was recanalized by side-branch intravascular ultrasonography-guided parallel wiring. After stent deployment, coronary artery perforation at the distal end of the second diagonal branch was detected via contrast injection. We immediately performed intravascular haemostasis, leading to the disappearance of contrast. However, multiple bleeding sites were visualized by angiography at different sites of coronary arteries, including the circumflex artery. Although intravascular haemostasis is a standard procedure, we could not control rebleeding. Despite intensive care, the patient died.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Discussion<\/jats:title>\n                  <jats:p>Increased tissue pressure due to bleeding possibly led to global pericardial tamponade with multiple coronary artery perforations. We report a rare case of a patient with multiple coronary artery perforations during coronary intervention.<\/jats:p>\n               <\/jats:sec>","DOI":"10.1093\/ehjcr\/ytab453","type":"journal-article","created":{"date-parts":[[2021,11,8]],"date-time":"2021-11-08T13:13:00Z","timestamp":1636377180000},"source":"Crossref","is-referenced-by-count":1,"title":["Multiple coronary artery perforation following global pericardial tamponade in a patient with prior coronary artery bypass graft surgery: a case report"],"prefix":"10.1093","volume":"5","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-9711-1054","authenticated-orcid":false,"given":"Takehiro","family":"Yamada","sequence":"first","affiliation":[{"name":"Division of Cardiology, Cardiovascular Center, Kizawa Memorial Hospital, 590 Shimokobi, Kobi, Minokamo, Gifu 5058503, Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-4541-0962","authenticated-orcid":false,"given":"Takuma","family":"Aoyama","sequence":"additional","affiliation":[{"name":"Division of Cardiology, Cardiovascular Center, Kizawa Memorial Hospital, 590 Shimokobi, Kobi, Minokamo, Gifu 5058503, Japan"},{"name":"Division of Molecular Pathology, Shinshu University of Medicine, Matsumoto, Japan"},{"name":"Division of Cardiology, Gifu University of Medicine, Gifu, Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"286","published-online":{"date-parts":[[2021,11,8]]},"reference":[{"key":"2021120107101971000_ytab453-B1","doi-asserted-by":"crossref","first-page":"1674","DOI":"10.1016\/j.amjcard.2009.07.048","article-title":"Incidence, risk factors, management and outcomes of coronary artery perforation during percutaneous coronary intervention","volume":"104","author":"Shimony","year":"2009","journal-title":"Am J Cardiol"},{"key":"2021120107101971000_ytab453-B2","doi-asserted-by":"crossref","first-page":"911","DOI":"10.1016\/j.amjcard.2006.04.032","article-title":"Management and outcomes of coronary artery perforation during percutaneous coronary intervention","volume":"98","author":"Javaid","year":"2006","journal-title":"Am J Cardiol"},{"key":"2021120107101971000_ytab453-B3","doi-asserted-by":"crossref","first-page":"131","DOI":"10.1007\/s12928-012-0130-3","article-title":"Successful conservative management of coronary artery rupture: role of post pericardiotomy adhesions as a protective barrier","volume":"28","author":"Goel","year":"2013","journal-title":"Cardiovasc Interv Ther"},{"key":"2021120107101971000_ytab453-B4","doi-asserted-by":"crossref","first-page":"e007338","DOI":"10.1161\/CIRCINTERVENTIONS.118.007338","article-title":"In-hospital outcomes of chronic total occlusion percutaneous coronary interventions in patients with prior coronary artery bypass graft surgery","volume":"12","author":"Tajti","year":"2019","journal-title":"Circ Cardiovasc Interv"},{"key":"2021120107101971000_ytab453-B5","doi-asserted-by":"crossref","first-page":"412","DOI":"10.1016\/j.carrev.2016.05.014","article-title":"Distal coronary perforation in patients with prior coronary artery bypass graft surgery: the importance of early treatment","volume":"17","author":"Karatasakis","year":"2016","journal-title":"Cardiovasc Revasc Med"},{"key":"2021120107101971000_ytab453-B6","doi-asserted-by":"crossref","first-page":"1052","DOI":"10.1136\/hrt.2004.053132","article-title":"Prior CABG does not prevent pericardial tamponade following saphenous vein graft perforation associated with angioplasty","volume":"91","author":"Lowe","year":"2005","journal-title":"Heart"},{"key":"2021120107101971000_ytab453-B7","doi-asserted-by":"crossref","first-page":"2725","DOI":"10.1161\/01.CIR.90.6.2725","article-title":"Increased coronary perforation in the new device era. 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