Case Report

ASEAN Heart Journal

, 21:3

First online:

Open Access This content is freely available online to anyone, anywhere at any time.

Coronary Perforation Complicating Percutaneous Coronary Intervention – A Case Illustration and Review

  • Ang Chin YongAffiliated withDepartment of Cardiology, National Heart Centre Singapore
  • , Jack Tan Wei ChiehAffiliated withDepartment of Cardiology, National Heart Centre Singapore


Coronary perforation is a potentially fatal complication during percutaneous coronary intervention (PCI). Reports have shown that it occurs in 0.2 to 0.6% of all patients undergoing the procedures. [1-3] Though the frequency of coronary perforation is low, it is a serious and potentially life-threatening situation that warrants prompt recognition and management. Here we illustrate a case of coronary perforation, and review the incidence, causes, clinical sequelae and management of coronary perforation in the current contemporary practice.


Percutaneous Coronary Intervention Stent Thrombosis Cardiac Tamponade Bivalirudin Chronic Total Occlusion