What can go wrong during complex PCI procedure?
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New right layering pleural effusion, Then the smart radiology resident Dr. Yuyang Zhang reviewed chart which was incomplete. So he called the cardiology fellow.
Then we got history of RCA rupture in cath lab requiring a covered stent of the dissection. Meanwhile since there was prior CABG ,so no tamponade and the blood went to the right pleural space from the pericardiac space. I suppose it could have gone to the left pleural space too, This is the first such one in our collection.
Patient was lucky. See conrast in kidneys from cardiac cath.