A Stent Misplaced in the Septal Perforating Artery: Right Ventricular Fistula, Interventricular Septal Hematoma, and Right Ventricular Outflow Tract Obstruction.

IF 2 4区 医学 Q3 CARDIAC & CARDIOVASCULAR SYSTEMS Arquivos Brasileiros de Cardiologia Pub Date : 2023-09-04 eCollection Date: 2023-01-01 DOI:10.36660/abc.20220901
Melik Demir, Murat Gök, Muhammet Gürdoğan, Osman Kula, Fethi Emre Ustabaşıoğlu, Kenan Yalta
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Abstract

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).

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间隔穿孔动脉内支架放置错误:右心室瘘、室间隔血肿和右心室流出道梗阻。
冠状动脉摄影瘘管虽然大多被视为先天性实体,但也被视为重大创伤和经皮冠状动脉介入治疗(PCI)的并发症。1另一方面,室间隔(IVS)血肿可能主要发生在逆行慢性完全闭塞(CTO)介入治疗期间,在这种情况下具有良性过程。2,我们描述了一种具有挑战性的PCI并发症(及其治疗策略),表现为室间隔穿通动脉(SPA)内冠状动脉支架植入不当导致的IVS血肿、右心室瘘和右心室流出道(RVOT)阻塞。
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来源期刊
Arquivos Brasileiros de Cardiologia
Arquivos Brasileiros de Cardiologia 医学-心血管系统
CiteScore
3.70
自引率
30.80%
发文量
234
审稿时长
3-8 weeks
期刊介绍: With more than 70 years of existence, Arquivos Brasileiros de Cardiologia is the main channel for the dissemination of Brazilian scientific research on cardiovascular sciences. Published in two languages and indexed in major international databases, all scientific contributions are peer-reviewed and reviewed by editorial board members selected among the most reputable researchers in Brazil and abroad. The manuscripts are reviewed according to their relevance and originality, scientific accuracy and level of importance for the advancement of science. With an average time of nine months between the initial submission and the effective publication of the manuscripts, and less than seven months until they are published on PubMed, Arquivos Brasileiros de Cardiologia can ensure the quick inclusion of the researchers’ papers in the international literature.
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