Related Experiment Video

Updated: Mar 14, 2026

Closure of a Patent Foramen Ovale PFO: An Intervention Sequence
10:52

Closure of a Patent Foramen Ovale PFO: An Intervention Sequence

Published on: December 23, 2022

6.6K

Interventricular Septal Hematoma and Coronary-Ventricular Fistula: A Complication of Retrograde Chronic Total

Abdul-Rahman R Abdel-Karim1, Minh Vo2, Michael L Main1

  • 1Saint Luke's Mid America Heart Institute, University of Missouri Kansas City, Kansas City, MO, USA.

Case Reports in Cardiology
|September 27, 2016
PubMed

Insights

Interventricular septal hematoma is a rare complication following retrograde chronic total occlusion percutaneous coronary interventions. This report details two cases, highlighting successful management and favorable outcomes for this uncommon cardiac event.

Area of Science:

  • Cardiology
  • Interventional Cardiology

Background:

  • Interventricular septal hematoma is a rare complication of retrograde chronic total occlusion (CTO) percutaneous coronary interventions (PCI).
  • These hematomas typically follow a benign clinical course.

Purpose of the Study:

  • To report two cases of interventricular septal hematoma and coronary-cameral fistula development after right coronary artery (RCA) CTO-PCI using a retrograde approach.
  • To describe the clinical presentation and management of these rare complications.

Main Methods:

  • Retrospective analysis of two cases undergoing retrograde CTO-PCI.
  • Review of clinical presentation, diagnostic findings, and management strategies.

Main Results:

  • Two patients developed interventricular septal hematoma and coronary-cameral fistula after RCA CTO-PCI.
  • Both cases presented with ST-segment elevation and chest pain.
  • One patient was managed actively, the other conservatively, both with favorable outcomes.

Conclusions:

  • Interventricular septal hematoma and coronary-cameral fistula can occur after retrograde CTO-PCI.
  • These complications, though rare, require careful monitoring and can be managed successfully with both active and conservative approaches.

More Related Videos

Echocardiographic Evaluation of Atrial Communications before Transcatheter Closure07:41

Echocardiographic Evaluation of Atrial Communications before Transcatheter Closure

Published on: February 8, 2022

4.5K
Implantation of Total Artificial Heart in Congenital Heart Disease07:27

Implantation of Total Artificial Heart in Congenital Heart Disease

Published on: July 18, 2014

25.3K

Related Concept Videos

Aneurysm III: Interprofessional Care01:26

Aneurysm III: Interprofessional Care

Aneurysm management involves either conservative medical therapy or surgical intervention, depending on the size and symptoms of the aneurysm. Conservative management is generally reserved for smaller, asymptomatic aneurysms, while larger or symptomatic aneurysms often necessitate surgical repair.Conservative Medical TherapyFor small, asymptomatic aneurysms, particularly abdominal aortic aneurysms (AAA) less than 5.5 centimeters in diameter, conservative medical therapy is recommended. This...
434
Cardiomyopathy V: Interprofessional Care01:29

Cardiomyopathy V: Interprofessional Care

Managing cardiomyopathy involves addressing underlying or precipitating causes, treating heart failure with medications, and implementing dietary changes and a balanced exercise and rest regimen.Lifestyle ModificationsCardiomyopathy patients should adopt a low-sodium diet to reduce fluid retention and manage heart failure. A personalized exercise and rest plan helps maintain physical fitness without overstraining the heart. Avoiding alcohol and tobacco is essential to prevent further damage to...
574