scholarly journals Iatrogenic Dissection of The Right Coronary Artery and The Ascending Aorta Secondary to Percutaneous Coronary Intervention: A Case Report

2020 ◽  
Vol 23 (3) ◽  
pp. E366-E369
Author(s):  
Changjiang Yu ◽  
Fan He ◽  
Huaidong Chen ◽  
Jianmao Hong ◽  
Ximing Qian
Keyword(s):  
Percutaneous Coronary Intervention ◽  
Coronary Artery ◽  
Right Coronary Artery ◽  
Coronary Intervention ◽  
Ascending Aorta ◽  
Artery Dissection ◽  
Coronary Artery Dissection ◽  
Percutaneous Coronary ◽  
Aorta Replacement ◽  
The Right

Iatrogenic dissections of coronary artery and aorta is a rare and potentially fatal event, often following percutaneous coronary intervention (PCI). The prognosis of patients often depends on early accurate diagnosis and timely and effective treatment. There are no definite guidelines for the treatment of acute coronary artery dissection caused by PCI. Here, we report a 50-year-old patient with iatrogenic dissection of the right coronary artery and type A aortic dissection who underwent PCI for chest pain. We performed emergency surgery of right coronary artery ostium repair, aortic valvoplasty, ascending aorta replacement, and aortic arch descending stent implantation for the patient. The operation went smoothly, and the patient successfully was discharged two weeks after the operation.

scholarly journals Iatrogenic aortic dissection during percutaneous coronary intervention: A case report and review of the literature

2017 ◽  
Vol 46 (1) ◽  
pp. 526-532 ◽  
Author(s):  
Jia-Chen Li ◽  
Xin-Liang Guan ◽  
Ming Gong ◽  
Hong-Jia Zhang
Keyword(s):  
Percutaneous Coronary Intervention ◽  
Coronary Artery ◽  
Aortic Dissection ◽  
Right Coronary Artery ◽  
Artery Bypass ◽  
Coronary Intervention ◽  
Ascending Aorta ◽  
Iatrogenic Aortic Dissection ◽  
Percutaneous Coronary ◽  
The Right

A 64-year-old female complaining of unrelieved chest pain for 2 days was admitted to the Emergency Room of the Beijing Anzhen Hospital, Beijing, China. After definitive diagnosis, a percutaneous coronary intervention was implemented, but immediately after embedding the stent in the distal area of the right coronary artery, an acute coronary and aortic dissection was found. Cardiologists immediately gave the patient conservative management. At the same time, another smaller stent was immediately embedded in the proximal area of the right coronary artery and plunged into the ascending aorta by 2 mm, with the intention of covering the tear of the dissection. Repeated coronary angiography showed that a 40% stricture of the distal right coronary artery remained and less contrast agent had been extravasated. The patient was then transferred to the Department of Cardiac Surgery and received emergency surgery consisting of right coronary artery bypass grafting and ascending aorta replacement. The patient remained in the intensive care unit for 18 days after the surgery. The patient recovery was acceptable and she was discharged with a small amount of bilateral hydrothorax, moderate malnutrition oedema and iron deficiency anaemia.

scholarly journals Catheter Induced Dissection of Right Coronary Artery during Percutaneous Coronary Intervention: A Case Report

2020 ◽  
pp. 34-37
Author(s):  
Atul Kaushik ◽  
Surendra Patel ◽  
Jai Bharat Sharma ◽  
Rahul Choudhary
Keyword(s):  
Coronary Artery ◽  
Right Coronary Artery ◽  
Coronary Intervention ◽  
Artery Dissection ◽  
Inferior Wall ◽  
Coronary Artery Dissection ◽  
Iatrogenic Complications ◽  
Percutaneous Coronary ◽  
Life Threatening ◽  
The Right

Iatrogenic coronary artery dissections are rare but life-threatening complications which may have different etiologies. These complications should be recognized promptly and must be managed to avoid mortality. We are reporting a case of a 57-year old man who presented to us with acute inferior wall myocardial infarction and developed proximal right coronary dissection while undergoing percutaneous angioplasty through trans radial approach and was managed successfully with immediate rewiring and stenting of the right coronary artery. The patient remained asymptomatic at regular follow up. Coronary angiogram and angioplasty are both invasive procedures which may at times result in iatrogenic complications like catheter induced coronary dissection. Coronary artery dissection may prove fatal at times and should be dealt with immediately with appropriate intervention.

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