Interventricular Septal Hematoma and Coronary-Ventricular Fistula: A Complication of Retrograde Chronic Total Occlusion Intervention
Abdel-karim, Abdul-rahman R.
Main, Michael L.
Grantham, J. Aaron
- Publisher: Hindawi Publishing Corporation
Case Reports in Cardiology,
(issn: 2090-6404, eissn: 2090-6412)
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.