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Cardiovascular collapse post chronic total occlusion percutaneous coronary intervention due to a compressive left atrial hematoma managed with percutaneous drainage
Author(s) -
Wilson William M.,
Spratt J.C.,
Lombardi W.L.
Publication year - 2015
Publication title -
catheterization and cardiovascular interventions
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.988
H-Index - 116
eISSN - 1522-726X
pISSN - 1522-1946
DOI - 10.1002/ccd.25571
Subject(s) - medicine , percutaneous coronary intervention , hematoma , conventional pci , percutaneous , complication , perforation , surgery , coronary occlusion , occlusion , cardiology , myocardial infarction , punching , materials science , metallurgy
This case illustrates a potential complication of the retrograde approach using epicardial collaterals for chronic total occlusion (CTO) percutaneous coronary intervention (PCI). Hypotension post CTO PCI in a patient who has undergone previous cardiac surgery can have multiple causes, one of which is chamber compression from a localized hematoma due to coronary perforation as occurred in this case. This report is the first description of successful nonsurgical management of a left atrial hematoma causing cardiovascular collapse with percutaneous drainage. © 2015 Wiley Periodicals, Inc.