@article{3185009,
    title = "Perforation of a Saphenous Vein Graft Anastomosed at a Y-Configuration
to the Left Internal Mammary Artery",
    author = "Triantafyllis, Andreas S. and Haeck, Joost D. E. and van Dijk, Eveline and G. J. A. and Brueren, Guus R. G. and Spartans, Eleftherios and Tonino, and Pim A. L.",
    journal = "Cardiovascular Revascularization Medicine",
    year = "2019",
    volume = "20",
    number = "8",
    pages = "716-719",
    publisher = "HANLEY & BELFUS-ELSEVIER INC",
    issn = "1553-8389",
    doi = "10.1016/j.carrev.2018.10.001",
    keywords = "Perforation; Vein graft; CABG; Covered stent; Loculated tamponade",
    abstract = "Perforation of a saphenous vein graft (SVG) is a rare, yet dreadful
complication during percutaneous coronary intervention (PCI).
Perforation of a SVG arising at a Y-construction from the left internal
mammary artery (LIMA) can be catastrophic since manipulations and
material delivery through the single LIMA inflow can aggravate ischemia
and accelerate hemodynamic collapse. Prior CABG and pericardial
obliteration should not offer reassurance against tamponade, since
coronary perforation in these patients may cause the development of
loculated pericardial effusions, a complication associated with high
mortality. Treating physicians must be alert for potential
periprocedural pitfalls during PCI in post-CABG patients and these
should be taken into consideration during interventional planning,
procedure and follow-up. (C) 2018 Elsevier Inc. All rights reserved."
}