Here we reported on the case of a 64-years-old patients, who, on being submitted to primary angioplasty by trans-radial access, presented with a severe complication: Ellis Class III coronary perforation. The patient evolved with cardiac tamponade and required pericardial drainage. The perforation was sealed with the deployment of two Jomed Covered Stent Grafts (JCSG; Jomed International AB, Helsingborg, Sweden), thereby restoring TIMI III flow. The patient was released from hospital seven days after the procedure. The success of the procedure in the treatment of the complication and infarctation, without the necessity of ventilatory and hemodynamic support or revascularization surgery was achieved as the approach used a double guide catheter, thereby minimizing the time of pericardial effusion.
Coronary vessels, injuries; Angioplasty, transluminal, percutaneous coronary, adverse effects; Stents; Heart catheterization, adverse effects
