Objectives we have confronted a patient with renal subcapsular hematoma after PCI by femoral artery puncturing way. It not only gives us expensive lessons, but also hopes to provide colleagues to discussion.
Methods A 79 year-old male was admitted to our hospital because of a paroxysmal chest pain with more than ten years, aggravating two hours. Coronary angiography showed abnormal right main coronary artery. The RCA showed a 30% stenosis over stent in the proximal portion and 85% stenosis over stent in the distal portion. The LM showed an 85% stenosis; the Lcx showed diffuse atherosclerotic change at the proximal portion. Coronary stenting used a 2.5×20 mm Boston Liberte stent over the RCA-distal segment. After PCI, The patient suddenly appeared cardiac arrest.
Results Thoracic and abdominal CTA showed the abdominal aorta limited expansion, considering aorticaneurysm and mural thrombosis; multicystic disease of the kidneys and liver; subcapsular hematoma of the left kidney; shadows of the left Psoas.
Conclusions Necessary examinations before operation of the old and cautious manipulation during operation were crucial to ensure a smooth and successful operation.