Aortic dissection complicating failed coronary stenting.
We present a case of coronary dissection with retrograde extension to the sinus of Valsalva and ascending aorta after transradial percutaneous coronary intervention. Sealing the entry port of the coronary dissection with a stent resulted in failure. We made careful observation of the patient s course because the dissection did not seem to progress. Abnormal staining of the false lumen disappeared within an hour and the dissection repaired itself spontaneously in a day.
Kagoshima
Mitsuru
M
Division of Cardiology, Joetsu General Hospital, 2-1-1, Gochi, Joetsu City, Niigata, 943-8588, Japan. kago@cocoa.ocn.ne.jp
Kobayashi
Chiharu
C
Owa
Mafumi
M
D000368:Aged; D000784:Aortic Dissection / Q000000981:diagnostic imaging / Q000209:etiology* / Q000628:therapy; D015906:Angioplasty, Balloon, Coronary / Q000009:adverse effects*; D001014:Aortic Aneurysm / Q000000981:diagnostic imaging / Q000209:etiology* / Q000628:therapy; D017023:Coronary Angiography; D023921:Coronary Stenosis / Q000628:therapy; D006801:Humans; D007049:Iatrogenic Disease; D008297:Male; D012075:Remission, Spontaneous; D015607:Stents / Q000009:adverse effects*; D014057:Tomography, X-Ray Computed; D017211:Treatment Failure; D014945:Wound Healing