Interventricular Septal Hematoma after Retrograde Intervention for a Chronic Total Occlusion of a Right Coronary Artery: Echocardiographic and Magnetic Resonance Imaging—Diagnosis and Follow-Up
Joint Authors
Araki, Makoto
Murai, Tadashi
Kanaji, Yoshihisa
Matsuda, Junji
Usui, Eisuke
Niida, Takayuki
Ichijo, Sadamitsu
Hamaya, Rikuta
Kakuta, Tsunekazu
Source
Issue
Vol. 2016, Issue 2016 (31 Dec. 2016), pp.1-6, 6 p.
Publisher
Hindawi Publishing Corporation
Publication Date
2016-01-14
Country of Publication
Egypt
No. of Pages
6
Main Subjects
Abstract EN
The reverse CART technique provides the potential to modify the retrograde procedure by improving the controlled movement of the retrograde wire and improve the success rates of percutaneous coronary intervention (PCI) of chronic total occlusion (CTO).
Development of interventricular hematoma is a rare complication of CTO PCI.
A 63-year-old man with effort angina with a right coronary artery CTO lesion underwent PCI by retrograde approach from the LAD to a septal branch.
A contrast “stain” was demonstrated surrounding the septal collateral channel used for the retrograde approach at the end of the procedure without symptom.
Echocardiography indicated an increased interventricular septum thickness with low echo signals region and decreased contractility.
Cardiac magnetic resonance (CMR) imaging using gadolinium showed a diffusely thickened septum with a low signal fusiform neocavitation delimited by an enhanced-signal ring suggesting intraventricular septal dissecting hematoma.
After conservative treatment, follow-up echocardiogram and CMR showed the resolution of the hematoma without clinical events.
This case highlights the potentially lethal complication of septal perforator dissection and hematoma that may cause severe myocardial injury caused by retrograde approach for CTO PCI.
American Psychological Association (APA)
Araki, Makoto& Murai, Tadashi& Kanaji, Yoshihisa& Matsuda, Junji& Usui, Eisuke& Niida, Takayuki…[et al.]. 2016. Interventricular Septal Hematoma after Retrograde Intervention for a Chronic Total Occlusion of a Right Coronary Artery: Echocardiographic and Magnetic Resonance Imaging—Diagnosis and Follow-Up. Case Reports in Medicine،Vol. 2016, no. 2016, pp.1-6.
https://search.emarefa.net/detail/BIM-1101176
Modern Language Association (MLA)
Araki, Makoto…[et al.]. Interventricular Septal Hematoma after Retrograde Intervention for a Chronic Total Occlusion of a Right Coronary Artery: Echocardiographic and Magnetic Resonance Imaging—Diagnosis and Follow-Up. Case Reports in Medicine No. 2016 (2016), pp.1-6.
https://search.emarefa.net/detail/BIM-1101176
American Medical Association (AMA)
Araki, Makoto& Murai, Tadashi& Kanaji, Yoshihisa& Matsuda, Junji& Usui, Eisuke& Niida, Takayuki…[et al.]. Interventricular Septal Hematoma after Retrograde Intervention for a Chronic Total Occlusion of a Right Coronary Artery: Echocardiographic and Magnetic Resonance Imaging—Diagnosis and Follow-Up. Case Reports in Medicine. 2016. Vol. 2016, no. 2016, pp.1-6.
https://search.emarefa.net/detail/BIM-1101176
Data Type
Journal Articles
Language
English
Notes
Includes bibliographical references
Record ID
BIM-1101176