[Follow-up of dissection of the right coronary artery and wall of the ascending aorta after directional coronary atherectomy. A case report].
We report on a patient in whom a restenosis after two PTCA procedures was treated with directional coronary atherectomy. In the second DCA maneuvre a spiral dissection, type D, developed from ostium to restenosis with a balloon shaped part in the wall of the aorta ascendens. This part disappeared nearly completely by next day. The dissection in the right coronary artery persisted three months later until a bypass operation and was not visible after two years.
Dübel
H P
HP
Universitätsklinikum Charité Medizinische Klinik und Poliklinik, Berlin.
Gliech
V
V
Rutsch
W
W
D000784:Aortic Dissection / Q000000981:diagnostic imaging* / Q000209:etiology; D017545:Aortic Aneurysm, Thoracic / Q000000981:diagnostic imaging* / Q000209:etiology; D001027:Aortography; D017225:Atherectomy, Coronary / Q000295:instrumentation*; D003323:Coronary Aneurysm / Q000000981:diagnostic imaging*; D017023:Coronary Angiography; D003324:Coronary Artery Disease / Q000000981:diagnostic imaging / Q000601:surgery*; D005500:Follow-Up Studies; D006801:Humans; D008297:Male; D008875:Middle Aged; D011183:Postoperative Complications / Q000000981:diagnostic imaging* / Q000209:etiology; D012075:Remission, Spontaneous