Immediate Interventional Management of Aortocoronary Dissection During PCI: A Case Report
Aortocoronary dissection is a rare and potentially fatal complication of percutaneous coronary intervention. It is more common when performing interventions of the right coronary artery or during revascularization of chronic total occlusions. Here, we aimed to provide more data regarding a less comm...
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| Format: | Article |
| Language: | English |
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Compuscript Ltd
2024-05-01
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| Series: | Cardiovascular Innovations and Applications |
| Online Access: | https://www.scienceopen.com/hosted-document?doi=10.15212/CVIA.2024.0030 |
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| author | Nikolay Kalvachev Veselin Valkov Nikolay Dragnev |
| author_facet | Nikolay Kalvachev Veselin Valkov Nikolay Dragnev |
| author_sort | Nikolay Kalvachev |
| collection | DOAJ |
| description | Aortocoronary dissection is a rare and potentially fatal complication of percutaneous coronary intervention. It is more common when performing interventions of the right coronary artery or during revascularization of chronic total occlusions. Here, we aimed to provide more data regarding a less common form of this complication. We present the case of an 81-year old woman admitted with an acute infero-lateral myocardial infarction, who was indicated for emergency primary coronary intervention. After revascularization of the left circumflex artery, the left main coronary artery exhibited retrograde dissection into the ascending aorta. This complication was managed with immediate placement of another coronary stent at the left main coronary artery. Further propagation of the dissection was prevented. The patient was discharged in good health with antiagregant and rhythm control therapy for new onset atrial fibrillation. Although retrograde dissection of the left main coronary artery is a very rare complication, it can be successfully managed interventionally. |
| format | Article |
| id | doaj-art-aebe6598c55f44f9a9d5565e458fe31a |
| institution | Kabale University |
| issn | 2009-8618 2009-8782 |
| language | English |
| publishDate | 2024-05-01 |
| publisher | Compuscript Ltd |
| record_format | Article |
| series | Cardiovascular Innovations and Applications |
| spelling | doaj-art-aebe6598c55f44f9a9d5565e458fe31a2024-11-12T17:00:32ZengCompuscript LtdCardiovascular Innovations and Applications2009-86182009-87822024-05-019194810.15212/CVIA.2024.0030Immediate Interventional Management of Aortocoronary Dissection During PCI: A Case ReportNikolay KalvachevVeselin ValkovNikolay DragnevAortocoronary dissection is a rare and potentially fatal complication of percutaneous coronary intervention. It is more common when performing interventions of the right coronary artery or during revascularization of chronic total occlusions. Here, we aimed to provide more data regarding a less common form of this complication. We present the case of an 81-year old woman admitted with an acute infero-lateral myocardial infarction, who was indicated for emergency primary coronary intervention. After revascularization of the left circumflex artery, the left main coronary artery exhibited retrograde dissection into the ascending aorta. This complication was managed with immediate placement of another coronary stent at the left main coronary artery. Further propagation of the dissection was prevented. The patient was discharged in good health with antiagregant and rhythm control therapy for new onset atrial fibrillation. Although retrograde dissection of the left main coronary artery is a very rare complication, it can be successfully managed interventionally.https://www.scienceopen.com/hosted-document?doi=10.15212/CVIA.2024.0030 |
| spellingShingle | Nikolay Kalvachev Veselin Valkov Nikolay Dragnev Immediate Interventional Management of Aortocoronary Dissection During PCI: A Case Report Cardiovascular Innovations and Applications |
| title | Immediate Interventional Management of Aortocoronary Dissection During PCI: A Case Report |
| title_full | Immediate Interventional Management of Aortocoronary Dissection During PCI: A Case Report |
| title_fullStr | Immediate Interventional Management of Aortocoronary Dissection During PCI: A Case Report |
| title_full_unstemmed | Immediate Interventional Management of Aortocoronary Dissection During PCI: A Case Report |
| title_short | Immediate Interventional Management of Aortocoronary Dissection During PCI: A Case Report |
| title_sort | immediate interventional management of aortocoronary dissection during pci a case report |
| url | https://www.scienceopen.com/hosted-document?doi=10.15212/CVIA.2024.0030 |
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