Abstract

Case Report on LAD Perforation During CTO-PCI Sealed by Coil Embolization

Author(s): Kaisar Nasrullah khan, Ayesha Siddika*, Najim Uddin soikot

T he risk of Coronary Artery Perforation (CAP) is high during Percutaneous Coronary Intervention (PCI) for Chronic Total Occlusion (CTO). In cases of large proximal CAP, covered stents are often required. However, when the antegrade wire fails to cross the CTO lesion or enters a false tract, this approach becomes unfeasible. In such situations, coil embolization is a potential option. We present an unusual case of a 57-year-old hypertensive, diabetic man with dyslipidemia who presented with central, compressive chest pain at rest and on exertion, associated with dyspnea. He was eventually diagnosed with chronic stable angina. This case underscores the importance of coronary angiography and timely revascularization in patients at high risk of underdiagnosed coronary artery disease. Furthermore, it highlights the management of serious complications such as coronary perforation. An aggressive treatment strategy combined with prompt diagnosis can be lifesaving.