Percutaneous coronary stenting in guide-induced aortocoronary dissection: angiographic and CT findings.
We report here on a case of accidental aortocoronary dissection that occurred during the engagement of a guiding catheter. This resulted in an antegrade dissection into the right coronary artery, and a retrograde extension of the dissection into the Sinus of Valsalva and the ascending aorta up to the aortic arch. It was successfully treated with a stent deployment at the RCA ostium; this restored optimal coronary blood flow and there was a complete resolution of the aortic dissection as was documented by coronary angiography and the follow-up CT scan.
Kim
Jang-Young
JY
Department of Cardiology, Wonju College of Medicine, Yonsei University, 162 Ilsan-Dong, 220 701, Wonju, Republic of Korea.
Yoon
Junghan
J
Jung
Hyun-Sook
HS
Yoo
Byung-Su
BS
Lee
Seung-Hwan
SH
D000368:Aged; D000784:Aortic Dissection / Q000503:physiopathology / Q000628:therapy*; D015906:Angioplasty, Balloon, Coronary; D017545:Aortic Aneurysm, Thoracic / Q000503:physiopathology / Q000628:therapy*; D019917:Blood Vessel Prosthesis Implantation; D003323:Coronary Aneurysm / Q000503:physiopathology / Q000628:therapy*; D017023:Coronary Angiography; D003326:Coronary Circulation; D006801:Humans; D008297:Male; D012850:Sinus of Valsalva / Q000473:pathology / Q000503:physiopathology / Q000601:surgery; D015607:Stents; D014057:Tomography, X-Ray Computed