AI Article Synopsis

  • Interventricular septal hematoma is an uncommon but generally harmless complication that can arise from retrograde chronic total occlusion (CTO) percutaneous coronary interventions (PCI).
  • The report details two specific cases where patients developed septal hematoma and a coronary-cameral fistula following PCI on the right coronary artery (RCA).
  • Both patients experienced chest pain and ST-segment elevation, but one case was treated actively while the other was managed conservatively, resulting in positive outcomes for both individuals.

Article Abstract

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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Source
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5030402PMC
http://dx.doi.org/10.1155/2016/8750603DOI Listing

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