Abstract

VELARDE-ACOSTA, Kevin; DELGADO ARANA, José Raúl; MEDINA-MAGUINA, José M.  and  BALTODANO-ARELLANO, Roberto. 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. Arch Peru Cardiol Cir Cardiovasc [online]. 2023, vol.4, n.3, pp.122-126.  Epub Sep 30, 2023. ISSN 2708-7212.  http://dx.doi.org/10.47487/apcyccv.v4i3.313.

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.

Keywords : Percutaneous Coronary Intervention; Complications; Heart Failure.

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