Iatrogenic Aortic Dissection during Right Coronary Artery Stenting

  • Niyazi Cebi
  • Süleyman Tanriverdi
  • Ahmet Karabulut

Abstract

Aortic dissection limited to one sinus of Valsalva has been observed as an iatrogenic complication during coronary intervention. We report on a 65-year-old female patient who had a diagnosis of acute inferior myocardial infarction and experienced type A aortic dissection during stenting of the right coronary artery (RCA). Dissection was seen during aortic injection. There were no associated diseases in the sinuses of Valsalva or the aortic valve. An opening was seen intraoperatively in the right sinus of Valsalva. The opening was immediately and successfully sutured. The RCA was bypassed.

References

Chai HT, Yang CH, Wu CJ, et al. 2005. Utilization of a double-wire technique to treat long extended spiral dissection of the right coronary artery: evaluation of incidence and mechanisms. Int Heart J 46:35-44.\nSohrabi B, Kazami B, Aslanabadi N. 2007. Percutaneous treatment of catheter-induced dissection of the right coronary artery and adjacent aortic wall. J Invasive Cardiol 19:E199-202.\nVaideeswar P, Kaliamoorthy A. 2001. Aneurysm of sinus of Valsalva with extensive dissection of interventricular septum and left ventricular free wall. Int J Cardiol 77:93-5.\nVianna CB, Puig LB, Vieira ML, Shiozaki AA, Dauar D, Cesar LA. 2007. Spontaneous aortic dissection limited to sinus of Valsalva and involving the left main coronary artery. Int J Cardiovasc Imaging 23:455-8.\nAbu-Ful A, Weinstein JM, Henkin Y. 2003. Covered stent: a novel percutaneous treatment of iatrogenic aortic dissection during coronary angioplasty. J Invasive Cardiol 15:408-9.\n
Published
2008-06-26
How to Cite
Cebi, N., Tanriverdi, S., & Karabulut, A. (2008). Iatrogenic Aortic Dissection during Right Coronary Artery Stenting. The Heart Surgery Forum, 11(3), E172-E174. https://doi.org/10.1532/HSF98.20081006
Section
Articles