Tehran University of Medical Sciences The Research in Heart Yield and Translational Medicine (RHYTHM) 3115-7270 4 4 2009 10 19 248 252 Hosein Vakili Cardiovascular Research Center, Modarres Hospital, Shaheed Beheshti University of Medical Sciences, Roxana Sadeghi Cardiovascular Research Center, Modarres Hospital, Shaheed Beheshti University of Medical Sciences, Mohammad Reza Biranvand Cardiovascular Research Center, Modarres Hospital, Shaheed Beheshti University of Medical Sciences, Mohammad Hasan Namazi Cardiovascular Research Center, Modarres Hospital, Shaheed Beheshti University of Medical Sciences, Habibollah Saadat Cardiovascular Research Center, Modarres Hospital, Shaheed Beheshti University of Medical Sciences, Morteza Safi Cardiovascular Research Center, Modarres Hospital, Shaheed Beheshti University of Medical Sciences, Mohammad Reza Motamedi Cardiovascular Research Center, Modarres Hospital, Shaheed Beheshti University of Medical Sciences, 2015 10 03 Coronary artery perforation is a rare, but potentially serious, complication of percutaneous coronary intervention and is associated with a high incidence of death, Q-wave myocardial infarction, and emergency coronary bypass surgery. Management is different but requires prompt recognition and treatment. We describe a case of coronary perforation only after guidewire removal and also review the management of vessel rupture and perforation. https://rhythm.tums.ac.ir/index.php/jthc/article/view/152 https://rhythm.tums.ac.ir/index.php/jthc/article/download/152/150