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Perforation of the sinus of Valsalva by guiding catheter during the percutaneous coronary intervention via the right transradial approach: A very unusual complication
Author(s) -
Tomassini Francesco,
Gagnor Andrea,
Varbella Ferdinando
Publication year - 2011
Publication title -
catheterization and cardiovascular interventions
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.988
H-Index - 116
eISSN - 1522-726X
pISSN - 1522-1946
DOI - 10.1002/ccd.23117
Subject(s) - medicine , percutaneous coronary intervention , ascending aorta , conventional pci , sinus (botany) , perforation , catheter , surgery , coronary sinus , right coronary artery , cardiology , aorta , coronary angiography , myocardial infarction , botany , punching , materials science , metallurgy , biology , genus
Iatrogenic dissection of the sinus of Valsalva or of the ascending aorta is a rare but potentially fatal event, during the percuteneous coronary intervention (PCI). We reported a case of perforation of the sinus of Valsalva by guiding catheter during PCI via the right transradial approach (TRA) successfully managed and sealed without any sequelae. The choice of guiding catheter into the right TRA should be done carefully and its manipulation should be performed with caution in the coronary artery and in the sinus of Valsalva. © 2011 Wiley Periodicals, Inc.