Perioperative management for iatrogenic aortocoronary dissection during percutaneous coronary intervention

Perioperative management for iatrogenic aortocoronary dissection during percutaneous coronary intervention

Aortocoronary dissection is a rare but serious complication. We report the case of a 72-year-old female with angina. Percutaneous coronary intervention was performed for right coronary artery disease. Manipulation of the guiding catheter led to aortocoronary dissection. A drug-eluting stent was imme...

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Veröffentlicht in:Cardiovascular intervention and therapeutics 2017-10, Vol.32 (4), p.440-444
Hauptverfasser: Shuto, Takashi, Anai, Hirofumi, Hirota, Jun, Wada, Tomoyuki, Takebayashi, Satoshi, Miyamoto, Shinji
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Cardiology
Case Report
Interventional Radiology
Medicine
Medicine & Public Health
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container_end_page 444
container_issue 4
container_start_page 440
container_title Cardiovascular intervention and therapeutics
container_volume 32
creator Shuto, Takashi
Anai, Hirofumi
Hirota, Jun
Wada, Tomoyuki
Takebayashi, Satoshi
Miyamoto, Shinji
description Aortocoronary dissection is a rare but serious complication. We report the case of a 72-year-old female with angina. Percutaneous coronary intervention was performed for right coronary artery disease. Manipulation of the guiding catheter led to aortocoronary dissection. A drug-eluting stent was immediately implanted in the right coronary ostium to seal the entry of the dissection. Computed tomography (CT) showed ascending aortic dissection. The patient was observed without surgery. CT performed the following day and showed the contrast in the false lumen which had disappeared. Clinicians are more likely to avoid surgical treatment if stenting successfully seals the entry of the coronary dissection.
doi_str_mv 10.1007/s12928-017-0461-1
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subjects Cardiology
Case Report
Interventional Radiology
Medicine
Medicine & Public Health
title Perioperative management for iatrogenic aortocoronary dissection during percutaneous coronary intervention
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