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>Journals >Cirugía y Cirujanos >Year 2005, Issue 3


Rangel-Abundis A, Basave-Rojas MN, Albarrán-López H
Iatrogenic dissection of the right coronary artery and the ascending aorta secondary to endoluminal angioplasty.A case report
Cir Cir 2005; 73 (3)

Language: Inglés
References: 12
Page: 207-210
PDF: 56.21 Kb.

[Full text - PDF]

ABSTRACT

The authors present the case of a 54-year-old woman with iatrogenic dissection of the right coronary artery ostium and extension of the dissection to the ascending aorta during the intraluminal angioplasty of an obstructive lesion in the middle portion of the right coronary artery. In order to maintain coronary blood flow before surgery, the coronary dissection was treated with the implantation of three direct coronary stents that dilated the stenosis and sealed the dissection of the coronary artery. The aortic dissection needed treatment with the implantation of a Haenoshield aortic graft. During the surgery, it was decided to implant an aortocoronary bypass graft to guarantee the distal right coronary blood flow, given the possible increased risk of thrombosis of the stents because of the large thrombogenic metallic surface of the stents. On the other hand, the administration of anticoagulants and antithrombotic drugs were not indicated because of the intended surgery of the aortic dissection. The evolution of the patient was satisfactory. Causes, frequency, and treatment procedures of this iatrogeny are discussed.


Key words: coronary angioplasty, coronary artery dissection, aortic dissection, iatrogeny.


REFERENCES

  1. Johnson LW, Lozner EC, Johnson S, Krone R, Pichard AD, Vetrovec GW, et al. Coronary arteriography 1984-1987: a report of the Registry of the Society for Cardiac Angiography and Interventions. I. Results and complications. Cathet Cardiovasc Diagn 1989;17:5-10.

  2. 2. Defeyter PJ. Percutaneous coronary intervention for unstable angina. In: Topol E, ed. Textbook of Interventional Cardiology. 3rd ed. Philadelphia: WB Saunders Company; 1999. pp. 238-255.

  3. 3. Baim DS, Grossman W. Complications of cardiac catheterism. In: Baim DS, Grossman W, eds. Grossman’s Cardiac Catheterization, Angiography and Intervention. 6th ed. Philadelphia: Lippincot Williams and Wilkins; 2000. pp. 35-65.

  4. 4. Mauser M, Enker J, Fleischmann D. Dissection of sinus Valsalvae aortae as a complication of coronary angioplasty (Summary). Z Kardiol 1999;88:1023-1027.

  5. 5. Meller J, Friedman S, Herman HV. Coronary artery dissection: a complication of cardiac catheterization without sequelae. Case report and review of the literature. Cathet Cardiovasc Diagn 1976;2: 301-308.

  6. 6. Morise AP, Hardin NJ, Bovill EG, Gundel WD. Coronary artery dissection secondary to coronary arteriography; presentation of three cases review of the literature. Cathet Cardiovasc Diagn 1981;7: 283-296.

  7. 7. Ikari Y, Hara K, Tamura T, Hara H. Intracoronary stenting of a coronary occlusion resulting from an aortic dissection. Cathet Cardiovasc Diagn 1995;36:160-163.

  8. 8. Ellis SG. Elective coronary angioplasty. In: Topol E, ed. Textbook of Interventional Cardiology. 3rd ed. Philadelphia: WB Saunders Company; 1999. pp. 147-162.

  9. 9. Baim DS, Grossman W. Coronary arteriography. In: Baim D, Grossman W, eds. Cardiac Catheterization, Angiography and Intervention. 6th ed. Philadelphia: Lippincot Williams and Wilkins; 2000. pp. 211-256.

  10. 10. Alfonso F, Ameria C, Fernández-Ortiz A, Segovia J. Aortic dissection occurring during coronary angioplasty. Angiographic and transesophageal echocardiographic findings. Cathet Cardiovasc Diagn 1997;42:412-415.

  11. 11. Pentousis D, Toussaint M, Zheng H, Favereaou X, Guerin Y, Bardet A, et al. Conservative management for an extensive type A aortic dissection complicating coronary angioplasty. J Invasive Cardiol 2000;12:320-323.

  12. 12. Ahmed AA, Mahadeuan VS, Webb SW, MacGowan SN. Glue aortoplasty repair of aortic dissection after coronary angioplasty. Ann Thorac Surg 2001;72:922-924.






>Journals >Cirugía y Cirujanos >Year 2005, Issue 3
 

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