Cardiac Tamponade due to Coronary Artery Erosion


  • Silvana Marasco
  • Mark Fitzgerald
  • Marco Larobina
  • Donald Esmore



This report describes two patients with cardiac tamponade secondary to bleeding from a coronary artery, which had been eroded by a foreign body. In one patient the foreign body had been ingested and in the other patient, the cause was iatrogenic. This report highlights varied and unusual causes of cardiac tamponade.


Asano M, Mishima A, Ishii T, et al. 1996. Surgical treatment for right ventricular perforation caused by transvenous pacing electrodes: a report of three cases. Surg Today 26(11):933-5.nAtar S, Chiu J, Forrester JS, Siegel RJ. 1999. Bloody pericardial effusion in patients with cardiac tamponade: is the cause cancerous, tuberculous, or iatrogenic in the 1990s? Chest 116(6):1506-7.nCekirdekci A, Ayan E, Ilkay E, Yildirim H. 2003. Cardiac tamponade caused by an ingested sewing needle. A case report. J Cardiovasc Surg >(Torino) 44(6):745-6.nDeckers JW, Hare JM, Baughman KL. 1992. Complications of transvenous right ventricular endomyocardial biopsy in adult patients with cardiomyopathy: a seven-year survey of 546 consecutive diagnostic procedures in a tertiary referral center. J Am Coll Cardiol 19(1):43-7.nFan CC, Andersen BR, Sahgal S. 1994. Isolated myocardial abscess causing coronary artery rupture and fatal hemopericardium. Arch Pathol Lab Med 118:1023-5.nFasseas P, Orford JL, Panetta CJ, et al. 2004. Incidence, correlates, management, and clinical outcome of coronary perforation: analysis of 16,298 procedures. Am Heart J 147(1):140-5.nForauer AR, Dasika NL, Gemmete JJ, Theoharis C. 2003. Pericardial tamponade complicating central venous interventions. J Vasc Interv Radiol 14(2 Pt 1):255-9.nGunning MG, Williams IL, Jewitt DE, Shah AM, Wainwright RJ, Thomas MR. 2002. Coronary artery perforation during percutaneous intervention: incidence and outcome. Heart 88(5):495-8.nHowlett JG, Teskey RJ, O'Niell BJ. 1995. Spontaneous pericardial tamponade during PTCA. Can J Cardiol 11(10):927-30.nSeki S, Kitada T, Sakaguchi H, et al. 2001. Cardiac tamponade caused by spontaneous rupture of mediastinal lymph node metastasis of hepatocellular carcinoma. J Gastroenterol Hepatol 16(6):702-4.nSharland MG, McCaughan BC. 1993. Perforation of the esophagus by a fish bone leading to cardiac tamponade. Ann Thorac Surg 56(4)969-71.n



How to Cite

Marasco, S., Fitzgerald, M., Larobina, M., & Esmore, D. (2005). Cardiac Tamponade due to Coronary Artery Erosion. The Heart Surgery Forum, 8(4), E173-E174.