Simultaneous right and left coronary occlusion caused by an extensive dissection to the coronary sinus of Valsalva during percutaneous intervention in right coronary artery.
We report a case of simultaneous right and left coronary occlusion during percutaneous coronary intervention in the right coronary artery. An aortocoronary dissection induced by the forceful manipulation extended from the right to left sinus of Valsalva and occluded the ostia of both coronary arteries. The patient suffered cardiogenic shock and ventricular fibrillation. However, after successful rapid stenting to right and left coronary arteries, safe discharge was possible.
Sekiguchi
Makoto
M
Department of Cardiology, Fukaya Red Cross Hospital, Saitama, Japan.
Sagawa
Naoki
N
Miyajima
Akito
A
Hasegawa
Shuichi
S
Yamazaki
Masao
M
Kurabayashi
Masahiko
M
D000369:Aged, 80 and over; D000784:Aortic Dissection / Q000209:etiology*; D015906:Angioplasty, Balloon, Coronary / Q000009:adverse effects*; D001014:Aortic Aneurysm / Q000209:etiology*; D023921:Coronary Stenosis / Q000628:therapy*; D054855:Drug-Eluting Stents; D006801:Humans; D008297:Male; D012850:Sinus of Valsalva