Open AccessCatheter-induced dissection of a normal right coronary artery: Reappraisal of the underlying mechanisms
Author(s) -
Wassam El Din HadadEl Shafey
Publication year - 2016
Publication title -
the egyptian heart journal /the egyptian heart journal
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.212
H-Index - 9
eISSN - 2090-911X
pISSN - 1110-2608
DOI - 10.1016/j.ehj.2015.05.002
Subject(s) - medicine , cardiology , right coronary artery , ostium , dissection (medical) , catheter , left coronary artery , artery dissection , artery , aortic root , surgery , coronary angiography , aorta , myocardial infarction
Iatrogenic coronary artery dissection during diagnostic coronary catheterization is a rare but life-threatening event with a reported incidence of less than 0.1%. The current case report addresses the issue of catheter-induced dissection of an apparently normal right coronary artery (RCA). I tried to explain the factors underlying its occurrence, in view of the current knowledge of the aortic root motion during the cardiac cycle, and the spatial orientation of the RCA ostium