Successful management of Ellis III coronary perforation and complex bifurcation lesion of the right coronary artery in a patient with high- risk coronary anatomy. A case report

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Complex coronary lesions represent challenging findings for percutaneous coronary intervention and potentially lead to complications during their approach. We present the case of a patient with decompensated heart failure of ischemic origin who presented multiple complex lesions on coronary angiogra...

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Detalles Bibliográficos
Autores: Velarde-Acosta, Kevin, Delgado Arana, José Raúl, Medina-Maguiña, José M., Baltodano-Arellano, Roberto
Formato: artículo
Fecha de Publicación:2023
Institución:Instituto Nacional Cardiovascular
Repositorio:Archivos peruanos de cardiología y cirugía cardiovascular
Lenguaje:inglés
español
OAI Identifier:oai:ojs.apcyccv.org.pe:article/313
Enlace del recurso:https://apcyccv.org.pe/index.php/apccc/article/view/313
Nivel de acceso:acceso abierto
Materia:Percutaneous Coronary Intervention
Complications
Heart Failure
Descripción
Sumario:Complex coronary lesions represent challenging findings for percutaneous coronary intervention and potentially lead to complications during their approach. We present the case of a patient with decompensated heart failure of ischemic origin who presented multiple complex lesions on coronary angiography. The initial approach to the marginal artery was complicated by a severe coronary perforation that was satisfactorily resolved and in the second moment, a bifurcation lesion of the right coronary artery was successfully treated using the inverted Culotte technique.
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