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, Kevin ^[1] ; Delgado Arana, José Raúl ^[2] ; Medina-Maguiña, José M. ^[1] ; Baltodano-Arellano, Roberto ^[3]
  1. [1] Servicio de Cardiología Clínica. Hospital Guillermo Almenara Irigoyen - EsSalud, Lima, Perú.
  2. [2] Departamento de Cardiología Intervencionista. Hospital Guillermo Almenara Irigoyen - EsSalud, Lima, Perú.
  3. [3] Departamento de Imagen Cardiaca. Hospital Guillermo Almenara Irigoyen - EsSalud, Lima, Perú.

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• Localización: Archivos peruanos de Cardiología y Cirugía Cardiovascular, ISSN-e 2708-7212, Vol. 4, Nº. 3, 2023, págs. 122-126
• Idioma: inglés
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  • 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.