Open AccessAortic and Coronary Artery Dissection During Percutaneous Coronary Intervention: A Case Report and Review Article
Author(s) -
Yarlioglues Mikail,
Tasdemir Kutay,
Kaya Mehmet Gungor,
Kalay Nihat
Publication year - 2011
Publication title -
clinical cardiology
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.263
H-Index - 72
eISSN - 1932-8737
pISSN - 0160-9289
DOI - 10.1002/clc.20890
Subject(s) - medicine , cardiology , right coronary artery , ascending aorta , percutaneous coronary intervention , myocardial infarction , aortic dissection , artery , dissection (medical) , aorta , surgery , coronary angiography
Coronary artery dissection is an uncommon but potentially serious complication in percutaneous coronary interventions. We treated a 53‐year‐old female patient with right coronary spasm, which was misdiagnosed as a coronary lesion. The coronary spasm resolved with nitrate administration, but proximal coronary dissection developed during angiography. It progressed anterograde and led to inferior myocardial infarction and severe hemodynamic instability due to right coronary artery occlusion. Percutaneous intervention failed, and it was determined that coronary dissection progressed retrograde, across the truncus of the aorta. Ascending aortic grafting and coronary bypass surgery were performed. The patient recovered and was discharged after 10 days. Close cardiothoracic observation is mandatory in patient evaluation and management. © 2011 Wiley Periodicals, Inc. The authors have no funding, financial relationships, or conflicts of interest to disclose.