title: Left atrial intramural hematoma after percutaneous coronary intervention.
abstract: We describe a rare complication of a complex chronic total occlusion recanalization procedure. Perforation of a distal right coronary artery collateral results in a left atrial intramural hematoma with consequent circulatory collapse. Access to prompt transoesophageal echocardiography and urgent surgical intervention were lifesaving and the case highlights possible implications on the planning of complex chronic total occlusion recanalization procedures.
authors.affiliation: Department of Cardiology, Royal Brompton Hospital, London, SW3 6NP, United Kingdom.
authors.forename: Russell J
authors.initials: RJ
authors.lastname: Franks
authors.affiliation: Department of Cardiology, Royal Brompton Hospital, London, SW3 6NP, United Kingdom.
authors.forename: Anthony
authors.initials: A
authors.lastname: de Souza
authors.affiliation: Department of Cardiology, Royal Brompton Hospital, London, SW3 6NP, United Kingdom.
authors.forename: Carlo
authors.initials: C
authors.lastname: Di Mario
mesh_terms: D000368:Aged; D015897:Comorbidity; D017548:Echocardiography, Transesophageal; D006325:Heart Atria / Q000293:injuries* / Q000601:surgery*; D006406:Hematoma / Q000000981:diagnostic imaging / Q000209:etiology* / Q000601:surgery*; D006801:Humans; D007049:Iatrogenic Disease; D008297:Male; D062645:Percutaneous Coronary Intervention / Q000009:adverse effects*
keywords: chronic total occlusion; complication; transoesophageal echocardiography