Abstract
Septal vessel perforation followed by septal hematoma is a rare complication of retrograde
approach for treatment of coronary chronic total occlusions, possibly leading to septal
rupture. We report 2 cases of patients with septal vessel perforation and subsequent
hematoma successfully treated with autologous fat embolization. Such technique is
inexpensive, omnipresent, and relatively easy to perform.
Résumé
L’hématome septal qui suit la perforation septale est une complication rare de l’approche
par voie rétrograde dans le traitement des occlusions totales chroniques d’une artère
coronaire qui peut mener à la rupture septale. Nous rapportons deux cas de patients
ayant subi une perforation septale et un hématome subséquent qui ont été traités efficacement
par embolisation par graisse autologue. Cette technique est peu coûteuse, omniprésente
et relativement facile à réaliser.
To read this article in full you will need to make a payment
Purchase one-time access:
Academic & Personal: 24 hour online accessCorporate R&D Professionals: 24 hour online accessOne-time access price info
- For academic or personal research use, select 'Academic and Personal'
- For corporate R&D use, select 'Corporate R&D Professionals'
Subscribe:
Subscribe to Canadian Journal of CardiologyAlready a print subscriber? Claim online access
Already an online subscriber? Sign in
Register: Create an account
Institutional Access: Sign in to ScienceDirect
References
- Images in cardiovascular medicine. Interventricular septal hematoma and ventricular septal defect after retrograde intervention for a chronic total occlusion of a left anterior descending coronary artery.Circulation. 2010; 122: e518-e521
- Respect the septal perforator: septal artery perforation during CTO PCI resulting in massive interventricular septal hematoma and biventricular cardiac obstructive shock.JACC Cardiovasc Interv. 2017; 10: e91-e92
- Septal hematoma: a rare but potentially serious complication of retrograde CTO-PCI.J Invasive Cardiol. 2019; 31: e47-e48
Article info
Publication history
Published online: December 17, 2019
Accepted:
December 9,
2019
Received:
November 8,
2019
Footnotes
See page 966.e17 for disclosure information.
Identification
Copyright
© 2020 Canadian Cardiovascular Society. Published by Elsevier Inc. All rights reserved.
