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

Kevin Velarde-Acosta; José Raúl Delgado Arana; José M. Medina-Maguiña; Roberto Baltodano-Arellano

doi:10.47487/apcyccv.v4i3.313

Authors

Kevin Velarde-Acosta Servicio de Cardiología Clínica. Hospital Guillermo Almenara Irigoyen - EsSalud, Lima, Perú. https://orcid.org/0000-0001-9132-0445
José Raúl Delgado Arana Departamento de Cardiología Intervencionista. Hospital Guillermo Almenara Irigoyen - EsSalud, Lima, Perú. https://orcid.org/0000-0002-9113-3022
José M. Medina-Maguiña Servicio de Cardiología Clínica. Hospital Guillermo Almenara Irigoyen - EsSalud, Lima, Perú. https://orcid.org/0000-0002-5167-5580
Roberto Baltodano-Arellano Departamento de Imagen Cardiaca. Hospital Guillermo Almenara Irigoyen - EsSalud, Lima, Perú. https://orcid.org/0000-0002-7538-2125

DOI:

https://doi.org/10.47487/apcyccv.v4i3.313

Keywords:

Percutaneous Coronary Intervention, Complications, Heart Failure

Abstract

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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References

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