title: Aortic and coronary artery dissection during percutaneous coronary intervention: a case report and review article.
abstract: Coronary artery dissection is an uncommon but potentially serious complication in percutaneous coronary interventions. We treated a 53-year-old female patient with right coronary spasm, which was misdiagnosed as a coronary lesion. The coronary spasm resolved with nitrate administration, but proximal coronary dissection developed during angiography. It progressed anterograde and led to inferior myocardial infarction and severe hemodynamic instability due to right coronary artery occlusion. Percutaneous intervention failed, and it was determined that coronary dissection progressed retrograde, across the truncus of the aorta. Ascending aortic grafting and coronary bypass surgery were performed. The patient recovered and was discharged after 10 days. Close cardiothoracic observation is mandatory in patient evaluation and management.
authors.affiliation: Department of Cardiology, Erciyes University Medical Faculty, Kayseri, Turkey. drmikailyar@gmail.com
authors.forename: Mikail
authors.initials: M
authors.lastname: Yarlioglues
authors.forename: Kutay
authors.initials: K
authors.lastname: Tasdemir
authors.forename: Mehmet Gungor
authors.initials: MG
authors.lastname: Kaya
authors.forename: Nihat
authors.initials: N
authors.lastname: Kalay
mesh_terms: D000784:Aortic Dissection / Q000209:etiology*; D015906:Angioplasty, Balloon, Coronary / Q000009:adverse effects*; D001011:Aorta; D017545:Aortic Aneurysm, Thoracic / Q000209:etiology*; D017023:Coronary Angiography / Q000009:adverse effects*; D001026:Coronary Artery Bypass; D005260:Female; D006439:Hemodynamics; D006801:Humans; D008875:Middle Aged; D017202:Myocardial Ischemia / Q000209:etiology; D012307:Risk Factors