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Case Reports in Cardiology
Volume 2018 (2018), Article ID 4975412, 4 pages
Case Report

Complex Recanalization of Chronic Total Occluison Supported by Minimal Extracorporeal Circulation in a Patient with an Aortic Valve Bioprothesis in Extraanatomic Position

1Department of Cardiology, Heartcentre Niederrhein, Helios Clinic Krefeld, Krefeld, Germany
2Institute for Heart and Circulation Research, University of Cologne, Cologne, Germany
3University of Witten/Herdecke, Witten, Germany

Correspondence should be addressed to Jan-Erik Guelker; ed.nekinilk-soileh@rekleug.kire-naj

Received 12 January 2018; Revised 26 February 2018; Accepted 20 March 2018; Published 5 April 2018

Academic Editor: Man-Hong Jim

Copyright © 2018 Ruben Jansen et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.


Percutaneous coronary intervention (PCI) of chronic total occlusion (CTO) still remains a major challenge in interventional cardiology. This case describes a complex PCI of the left main coronary artery and of a CTO of the right coronary artery using a minimal extracorporeal circulation system (MECC) in a patient with an aortic valve bioprothesis in extraanatomic position. It illustrates that complex recanalization strategies can be solved combining it with mechanical circulatory support technologies.