AUTHOR=Zeng Yuan , Lu Lin , Wei Gang , Zheng Wenwu , Chen Gong 

TITLE=Case report: Uncontrollable coronary artery perforation caused by severe stenosis proximal to loopy vessels

JOURNAL=Frontiers in Cardiovascular Medicine

VOLUME=Volume 12 - 2025

YEAR=2025

URL=https://www.frontiersin.org/journals/cardiovascular-medicine/articles/10.3389/fcvm.2025.1609557

DOI=10.3389/fcvm.2025.1609557

ISSN=2297-055X

ABSTRACT=Coronary artery perforation(CAP) is a rare but potentially life-threatening event. Typically, such complications can be effectively managed with appropriately placed covered stents or embolization. However, in special cases, these methods may prove less effective. Here, we present a case of CAP requiring emergency surgical suturing: a perforation caused by radial cutting of the guidewire in a tortuous coronary lesion, accompanied by rapid opening of distal side branches in a narrowed vessel.