Unrecognized perforation into the anterior interventricular vein complicating PCI for anterior STEMI: An unexpected detour

Abstract

Abstract Large iatrogenic coronary artery perforations require rapid management; however, operators must be able to recognize guidewire perforation into cardiac veins in order to avoid causing further complications with standard salvage strategies.

Keywords

• complication
• coronary perforation
• fistula
• myocardial infarction