Mechanical coronary artery shortening with vessel wall deformity during directional coronary atherectomy: first reported case involving the left anterior descending artery.
Coronary spasm, dissection, thrombosis, and mechanical coronary artery obstruction due to vessel shortening and deformity resulting from kinking, invagination, or collapse in an accordion-like fashion are recognized sources of iatrogenic obstruction during PTCA. Rapid recognition is required to initiate appropriate therapy. Described is the first reported case of mechanical obstruction involving the left anterior descending artery.
Shea
P J
PJ
Department of Medicine, Christ Hospital, Cincinnati, Ohio.
D000368:Aged; D017225:Atherectomy, Coronary / Q000009:adverse effects* / Q000379:methods; D017023:Coronary Angiography; D003327:Coronary Disease / Q000628:therapy*; D003331:Coronary Vessels / Q000473:pathology*; D005260:Female; D006801:Humans