A coronary artery perforation is a rare, but potentially lethal, complication of percutaneous coronary intervention. We present a case of massive main vessel coronary perforation of the right coronary artery in a patient with acute ST segment elevation myocardial infarction, which was successfully treated with a second drug-eluting stent. This uncommon therapeutic approach was used to preserve flow to the large side branch. Early recognition, rapid balloon re-inflation at the perforation site and a "ping-pong" guiding technique allowed us to prepare the optimal strategy and to treat the perforation without developing cardiac tamponade.

• Klíčová slova
• Acute coronary syndrome, ST elevation myocardial infarction, angioplasty, balloon, coronary perforation, drug-eluting stent,
• MeSH
• balónková koronární angioplastika * MeSH
• infarkt myokardu * terapie   MeSH
• koronární angiografie MeSH
• koronární angioplastika * metody   MeSH
• koronární cévy diagnostické zobrazování   chirurgie   MeSH
• lidé MeSH
• stenty uvolňující léky * MeSH
• výsledek terapie MeSH
• Check Tag
• lidé MeSH
• Publikační typ
• časopisecké články MeSH
• kazuistiky MeSH