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CASE REPORT article

Front. Cardiovasc. Med.
Sec. Cardiovascular Imaging
Volume 12 - 2025 | doi: 10.3389/fcvm.2025.1535797
This article is part of the Research Topic Optimizing Cardiovascular Imaging for Unusual Clinical Scenarios: A Case-Based Approach View all 6 articles

Computerized tomography angiography in diagnosing an obtuse marginal branch perforation after pericardiocentesis: a case report

Provisionally accepted
Aleksandra Slobodan Ostojic Aleksandra Slobodan Ostojic 1*Zelimir Antonic Zelimir Antonic 1Ivan Ilić Ivan Ilić 1,2
  • 1 Institute for Cardiovascular Diseases Dedinje, Belgrade, Serbia
  • 2 Faculty of Medicine, University of Belgrade, Belgrade, Serbia

The final, formatted version of the article will be published soon.

    The patient was discharged seven days after intervention.Coronary artery perforation is a rare, albeit life-threatening complication of pericardiocentesis that requires urgent surgical or percutaneous intervention treatment. Its management depends on the size of the effusion and hemodynamic status of the patient. Surgical approach should be considered in patients with cardiac tamponade. A feasible alternative, besides pericardiocentesis could be the embolization of perforated coronary artery with micro-coils, subcutaneous fat or guidewire.CTA can provide important diagnostic information on perforation location and help in deciding whether embolization or open-heart surgery is needed to address ongoing bleeding.

    Keywords: coronary laceration, aortic dissection, Pericardiocentesis, computed tomography angiography, Obtuse marginal

    Received: 27 Nov 2024; Accepted: 27 Jan 2025.

    Copyright: © 2025 Ostojic, Antonic and Ilić. This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY). The use, distribution or reproduction in other forums is permitted, provided the original author(s) or licensor are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms.

    * Correspondence: Aleksandra Slobodan Ostojic, Institute for Cardiovascular Diseases Dedinje, Belgrade, Serbia

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