Interventricular Septal Hematoma and Coronary-Ventricular Fistula: A Complication of Retrograde Chronic Total Occlusion Intervention

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Abdel-karim, Abdul-rahman R. ; Vo, Minh ; Main, Michael L. ; Grantham, J. Aaron (2016)
  • Publisher: Hindawi Publishing Corporation
  • Journal: Case Reports in Cardiology, volume 2,016 (issn: 2090-6404, eissn: 2090-6412)
  • Related identifiers: doi: 10.1155/2016/8750603, pmc: PMC5030402
  • Subject: RC666-701 | Diseases of the circulatory (Cardiovascular) system | Case Report | Article Subject
    mesheuropmc: cardiovascular system | surgical procedures, operative | cardiovascular diseases

Interventricular septal hematoma is a rare complication of retrograde chronic total occlusion (CTO) percutaneous coronary interventions (PCI) with a typically benign course. Here we report two cases of interventricular septal hematoma and coronary-cameral fistula development after right coronary artery (RCA) CTO-PCI using a retrograde approach. Both were complicated by development of ST-segment elevation and chest pain. One case was managed actively and the other conservatively, both with a favorable outcome.
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