Left Circumflex Artery Rupture with Left Atrial Tamponade and Functional Mitral Stenosis

Figure 1

(a) Severe stenosis of the mid circumflex artery before intervention. The circumflex provides collaterals to the RCA. (b) Persistent “waisting” (stenosis) after dilating with a 2.5 mm compliant balloon. (c) Loss of waist after inflation of a 2.5 mm AngioSculpt balloon. (d) Ellis III perforation after dilation with a 2.5 mm scoring balloon.

(a)

(b)

(c)

(d)