eng Science and Education Publishing American Journal of Medical Case Reports 2374-216X 2022-09-23 10 9 244 246 10.12691/ajmcr-10-9-8 AJMCR20221098 article Muhammad Shabbir Ijaz m.shabbir.ijaz.md@gmail.com 1 Syed Ali Akhtar Tirmizi 2 Muhammad Usman Mustafa 3 Nawal Usman Mustafa 4 Mahvish Afza 5 Mashal Mumtaz 6 Department of Medicine, Poplar Bluff Regional Medical Center, Poplar Bluff, Missouri, USA Department of Medicine, The University of Mississippi Medical Center, Jackson, Mississippi, USA Capital health System, Saint Francis Medical Center, Trenton, New Jersey, USA Royal College of physicians Ireland, Bahrain Allama Iqbal Medical College, Lahore, Pakistan University of Lahore, Pakistan We present a case of iatrogenic distal coronary artery obstruction secondary to staples recently used to control massive bleeding from cardiac stab wound. Coronary artery occlusion was discovered on elective cardiac catheterization done for anginal chest pains a few weeks after initial cardiac laceration repair surgery. Due to the potential risk of coronary artery rupture with endovascular intervention in this case with metallic staples around the distal coronary artery, conservative management was adopted. This is a case of a rare but clinically important iatrogenic complication. http://pubs.sciepub.com/ajmcr/10/9/8/ajmcr-10-9-8.pdf cardiac laceration cardiac stapling cardiorrhaphy iatrogenic coronary artery occlusion