Coronary Artery and Right Ventricular Perforation Due to Mechanical CPR Trauma

David Elison; Creighton Don; Kenta Nakamura

doi:10.1016/j.jaccas.2019.08.007

Coronary Artery and Right Ventricular Perforation Due to Mechanical CPR Trauma

JACC Case Rep. 2019 Sep 25;1(3):407-410. doi: 10.1016/j.jaccas.2019.08.007. eCollection 2019 Oct.

Authors

David Elison¹, Creighton Don¹, Kenta Nakamura¹

Affiliation

¹ Division of Medicine, Department of Cardiology, University of Washington Medical Center, Seattle, Washington.

Abstract

Mechanical cardiopulmonary resuscitation (CPR) devices provide consistent, high-quality CPR but have been associated with a risk of visceral organ injury. However, these devices are used when traditional CPR is logistically difficult, such as during primary percutaneous coronary intervention. The following patient case illustrates mechanical CPR device use resulting in ventricular and coronary artery injury. (Level of Difficulty: Intermediate.).

Keywords: CPR; CPR complications; CPR, cardiopulmonary resuscitation; PCI; RCA, right coronary artery; RV, right ventricle; coronary artery laceration; mechanical cardiopulmonary resuscitation; percutaneous coronary intervention.