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2	Case History 81y/Female. AP last for 4 months Risk Factor: hypertension Intervention procedure:    26/10/2006: distal-RCA 80%, mid-LAD 100%                         PCI for RCA with DES 3.5/18mm     3/12/2006 :The stent in RCA normal                 PCI succeed in LAD CTO intervention,                 but coronary artery rupture  after stenting
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8	"It was terrible" It was terrible! What should we do next?     1.First Ballooning. Chest pain, heart  function ,          BP, tamponade and death should be pay attention      2. Stent graft      3. CABG or others
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13	Finished now? CTO success Artery Rupture has been closed BP and heart rate normal But patient’s BP lowered after 1 hr due to tamponade . The paracentesis pericardii had to do Follow up 3 months, no MACE
14	CONCLUSION Coronary rupture is severe and thorny . Stent graft closed the rupture Tamponade must be pay attention after rupture intervention Success and complication were twins
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