Case Report: A case of a giant right ventricular wall hematoma caused by coronary artery perforation during percutaneous coronary intervention - Takeaways - MDSpire
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Case Study: Unusual Presentation of a Large Hematoma in the Right Ventricular Wall Following Coronary Artery Perforation During Percutaneous Coronary Intervention

  • By

  • Yue Bao

  • Jun Ma

  • Lei Li

  • June 23, 2026

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  • 1

    Iatrogenic coronary artery perforation (CAP) is a rare but critical complication of percutaneous coronary intervention (PCI), occurring in 0.1%–0.8% of cases.

  • 2

    Ellis type III CAP can lead to massive pericardial effusion and acute cardiac tamponade, with an in-hospital mortality rate of 19% to 27.2%.

  • 3

    The case study reports a 71-year-old male with a subepicardial hematoma on the right ventricular surface following type III CAP during PCI.

  • 4

    The patient was treated successfully with emergency coronary artery bypass grafting and hematoma evacuation.

  • 5

    Postoperative follow-up showed the patient asymptomatic, with echocardiography revealing no hematoma and normal right heart chamber size.

Original Source(s)

Case Report: A case of a giant right ventricular wall hematoma caused by coronary artery perforation during percutaneous coronary intervention

  • by Yue Bao, Jun Ma, Lei Li

  • June 23, 2026

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