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

Velarde-Acosta K.; Arana J.R.D.; Medina-Maguiña J.M.; Baltodano-Arellano R. · Archivos Peruanos de Cardiologia y Cirugia Cardiovascular (2023) · DOI: 10.47487/apcyccv.v4i3.313

Resumen

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.

Instituciones: Universidad Nacional Mayor de San Marcos