Same case as mdr id: 2134265-2018-04654, 2134265-2018-04655, 2134265-2018-04656, 2134265-2018-04646, 2134265-2018-04647, 2134265-2018-04659.It was reported that vessel perforation and cardiac tamponade occurred.The patient presented with diffused calcification and narrowing of the left main (lm), left anterior descending (lad) and left circumflex (lcx); severe left ventricle (lv) dysfunction and aortic stenosis.This procedure was planned prior to an a transcatheter aortic valve implantation.Pre-dilation was completed with emerge¿ balloon catheters.Then three synergy¿ stents were implanted (4 x 24, 4 x 28 and a 3.5 x 38) were implanted.The stents were post dilated with nc emerge® balloon catheters.After post dilatation, a perforation was noted at the bifurcation of the lad and lcx.The perforation was treated by deploying non-bsc stents and further post dilatation of those stents.The perforation caused cardiac tamponade and pericardiocentesis was performed; a significant amount of blood was drained.The patient was stable prior to transfer to the intensive care unit.
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