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 May 22;10(10):e91-e92. doi: 10.1016/j.jcin.2017.02.018. Epub 2017 Apr 26.
No abstract available

Keywords: cardiogenic shock; chronic total occlusion; coronary perforation; extracorporeal membrane oxygenation; interventricular septal hematoma; vascular coil.

Publication types

  • Case Reports
  • Video-Audio Media

MeSH terms

  • Aged
  • Chronic Disease
  • Coronary Angiography
  • Coronary Occlusion / diagnostic imaging
  • Coronary Occlusion / physiopathology
  • Coronary Occlusion / surgery*
  • Coronary Vessels / diagnostic imaging
  • Coronary Vessels / injuries*
  • Coronary Vessels / physiopathology
  • Echocardiography
  • Embolization, Therapeutic
  • Extracorporeal Membrane Oxygenation
  • Fatal Outcome
  • Heart Injuries / diagnostic imaging
  • Heart Injuries / etiology*
  • Heart Injuries / physiopathology
  • Heart Injuries / therapy
  • Heart-Assist Devices
  • Hematoma / diagnostic imaging
  • Hematoma / etiology*
  • Hematoma / physiopathology
  • Hematoma / therapy
  • Humans
  • Male
  • Percutaneous Coronary Intervention / adverse effects*
  • Shock, Cardiogenic / diagnostic imaging
  • Shock, Cardiogenic / etiology*
  • Shock, Cardiogenic / physiopathology
  • Shock, Cardiogenic / therapy
  • Treatment Outcome
  • Ventricular Septum / diagnostic imaging
  • Ventricular Septum / injuries*
  • Ventricular Septum / physiopathology