TY - JOUR
AU - Walsh, Simon J.
AB - Images in Cardiovascular Medicine Interventricular Septal Hematoma and Ventricular Septal Defect After Retrograde Intervention for a Chronic Total Occlusion of a Left Anterior Descending Coronary Artery Sarah L. Fairley, MB, MRCP; Patrick M. Donnelly, MD, MRCP; Colm G. Hanratty, MD, MRCP; Simon J. Walsh, MD, MRCP 73-year-old man with unstable angina was found to After discussion, the patient opted for percutaneous coronary have a severely calcified chronic total occlusion (CTO) intervention. Intervention was performed by 2 high-volume of the mid left anterior descending coronary artery (LAD). CTO operators with extensive experience of retrograde CTO Diagnostic coronary angiography confirmed the CTO to be percutaneous coronary intervention. An initial antegrade ap- complex, with a “flush” occlusion occurring in a segment proach failed to negotiate the calcific CTO lesion (Figure 1A). A associated with proximal septal and diagonal branches. Ret- subsequent attempt was made to treat the CTO via a retrograde rograde filling of the distal LAD occurred via 2 large septal approach. Figure 1B demonstrates retrograde filling of the LAD. perforators from the right coronary artery (RCA). Cardiac It was possible to advance a floppy hydrophilic guidewire magnetic resonance imaging demonstrated preserved left (Whisper LS, Abbott Vascular, Ill) via the septal 
TI - Interventricular Septal Hematoma and Ventricular Septal Defect After Retrograde Intervention for a Chronic Total Occlusion of a Left Anterior Descending Coronary Artery
JO - Circulation
DO - 10.1161/CIRCULATIONAHA.110.976555
DA - 2010-11-01
UR - https://www.deepdyve.com/lp/wolters-kluwer-health/interventricular-septal-hematoma-and-ventricular-septal-defect-after-ofHtb3Gscj
SP - e518
EP - e521
VL - 122
IS - 20
DP - DeepDyve
ER -