title: Percutaneous coronary stenting in guide-induced aortocoronary dissection: angiographic and CT findings.
abstract: 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.
authors.affiliation: Department of Cardiology, Wonju College of Medicine, Yonsei University, 162 Ilsan-Dong, 220 701, Wonju, Republic of Korea.
authors.forename: Jang-Young
authors.initials: JY
authors.lastname: Kim
authors.forename: Junghan
authors.initials: J
authors.lastname: Yoon
authors.forename: Hyun-Sook
authors.initials: HS
authors.lastname: Jung
authors.forename: Byung-Su
authors.initials: BS
authors.lastname: Yoo
authors.forename: Seung-Hwan
authors.initials: SH
authors.lastname: Lee
mesh_terms: 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