title: Simultaneous right and left coronary occlusion caused by an extensive dissection to the coronary sinus of Valsalva during percutaneous intervention in right coronary artery.
abstract: 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.
authors.affiliation: Department of Cardiology, Fukaya Red Cross Hospital, Saitama, Japan.
authors.forename: Makoto
authors.initials: M
authors.lastname: Sekiguchi
authors.forename: Naoki
authors.initials: N
authors.lastname: Sagawa
authors.forename: Akito
authors.initials: A
authors.lastname: Miyajima
authors.forename: Shuichi
authors.initials: S
authors.lastname: Hasegawa
authors.forename: Masao
authors.initials: M
authors.lastname: Yamazaki
authors.forename: Masahiko
authors.initials: M
authors.lastname: Kurabayashi
mesh_terms: 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