室间隔血肿与冠状-心室瘘：逆行性慢性完全闭塞病变介入治疗的一种并发症
Interventricular Septal Hematoma and Coronary-Ventricular Fistula: A Complication of Retrograde Chronic Total Occlusion Intervention.
作者信息
Abdel-Karim Abdul-Rahman R, Vo Minh, Main Michael L, Grantham J Aaron
机构信息
Saint Luke's Mid America Heart Institute, University of Missouri Kansas City, Kansas City, MO, USA.
University of Manitoba, St. Boniface Hospital, Winnipeg, MB, Canada.
出版信息
Case Rep Cardiol. 2016;2016:8750603. doi: 10.1155/2016/8750603. Epub 2016 Sep 7.
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.
摘要
室间隔血肿是逆行性慢性完全闭塞（CTO）经皮冠状动脉介入治疗（PCI）的一种罕见并发症，通常病程良性。在此，我们报告两例右冠状动脉（RCA）CTO-PCI逆行介入治疗后发生室间隔血肿和冠状动脉-心腔瘘的病例。两例均伴有ST段抬高和胸痛。一例积极治疗，另一例保守治疗，两者预后均良好。
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