A Stent Misplaced in the Septal Perforating Artery: Right Ventricular Fistula, Interventricular Septal Hematoma, and Right Ventricular Outflow Tract Obstruction.
Melik DemirMurat GökMuhammet GürdoğanOsman KulaFethi Emre UstabaşıoğluKenan YaltaPublished in: Arquivos brasileiros de cardiologia (2023)
Coronary-cameral fistulas, though mostly regarded as congenital entities, have also been encountered as complications of major traumas and percutaneous coronary interventions (PCIs).1 On the other hand, interventricular septal (IVS) hematoma might potentially arise mostly during retrograde chronic total occlusion (CTO) interventions and has a benign course in this context.2 Herein, we describe a challenging PCI complication (and its management strategy) presenting with IVS hematoma, right ventricular fistula, and right ventricular outflow tract (RVOT) obstruction due to a misimplanted coronary stent in the septal perforating artery (SPA).
Keyphrases
- coronary artery disease
- hypertrophic cardiomyopathy
- coronary artery
- physical activity
- percutaneous coronary intervention
- acute myocardial infarction
- aortic stenosis
- left ventricular
- acute coronary syndrome
- coronary artery bypass grafting
- cardiac resynchronization therapy
- antiplatelet therapy
- ultrasound guided
- atrial fibrillation