Percutaneous Coronary Intervention for Iatrogenic Right Coronary Artery Dissection Post Bentall Procedure: A Case Report and Minireview

Iatrogenic coronary artery dissection is a potentially life-threatening complication of cardiovascular interventions. The optimal management of iatrogenic coronary artery dissection is not clear; however, both conservative management and percutaneous or surgical revascularization have been performed...

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Main Authors: Sameer Saleem, Mubbasher A. Syed, Khalid Changal, Abdulelah Nuqali, Mujeeb Sheikh
Format: Article
Language:English
Published: Wiley 2018-01-01
Series:Case Reports in Cardiology
Online Access:http://dx.doi.org/10.1155/2018/3420721
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author Sameer Saleem
Mubbasher A. Syed
Khalid Changal
Abdulelah Nuqali
Mujeeb Sheikh
author_facet Sameer Saleem
Mubbasher A. Syed
Khalid Changal
Abdulelah Nuqali
Mujeeb Sheikh
author_sort Sameer Saleem
collection DOAJ
description Iatrogenic coronary artery dissection is a potentially life-threatening complication of cardiovascular interventions. The optimal management of iatrogenic coronary artery dissection is not clear; however, both conservative management and percutaneous or surgical revascularization have been performed depending on the patient’s clinical status and the extent of dissection. We present the first reported case of right coronary artery dissection after Bentall procedure performed for ascending aortic aneurysm. Urgent percutaneous intervention using adjunctive coronary imaging was performed with excellent clinical recovery. In this article, we highlight coronary artery dissection after Bentall procedure as a possible complication, provide an insight into various options in its management, and review published data on iatrogenic coronary artery dissection. We also discuss the challenges in percutaneous treatment of coronary artery dissection with special focus on intracoronary imaging for accurate diagnosis and guidance in the management of this complex lesion.
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institution Kabale University
issn 2090-6404
2090-6412
language English
publishDate 2018-01-01
publisher Wiley
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series Case Reports in Cardiology
spelling doaj-art-b42dc1843d094f2084f854d7b9fe78c22025-02-03T05:53:43ZengWileyCase Reports in Cardiology2090-64042090-64122018-01-01201810.1155/2018/34207213420721Percutaneous Coronary Intervention for Iatrogenic Right Coronary Artery Dissection Post Bentall Procedure: A Case Report and MinireviewSameer Saleem0Mubbasher A. Syed1Khalid Changal2Abdulelah Nuqali3Mujeeb Sheikh4Presence Saint Joseph Hospital, Chicago, IL 60657, USADivision of Cardiovascular Medicine, University of Toledo Medical Center, Toledo, OH 43614, USAMercy St. Vincent Medical Center, Toledo, OH 43608, USAInternal Medicine, George Washington University, 2121 I St NW, Washington, DC 20052, USADivision of Cardiovascular Medicine, University of Toledo Medical Center, Toledo, OH 43614, USAIatrogenic coronary artery dissection is a potentially life-threatening complication of cardiovascular interventions. The optimal management of iatrogenic coronary artery dissection is not clear; however, both conservative management and percutaneous or surgical revascularization have been performed depending on the patient’s clinical status and the extent of dissection. We present the first reported case of right coronary artery dissection after Bentall procedure performed for ascending aortic aneurysm. Urgent percutaneous intervention using adjunctive coronary imaging was performed with excellent clinical recovery. In this article, we highlight coronary artery dissection after Bentall procedure as a possible complication, provide an insight into various options in its management, and review published data on iatrogenic coronary artery dissection. We also discuss the challenges in percutaneous treatment of coronary artery dissection with special focus on intracoronary imaging for accurate diagnosis and guidance in the management of this complex lesion.http://dx.doi.org/10.1155/2018/3420721
spellingShingle Sameer Saleem
Mubbasher A. Syed
Khalid Changal
Abdulelah Nuqali
Mujeeb Sheikh
Percutaneous Coronary Intervention for Iatrogenic Right Coronary Artery Dissection Post Bentall Procedure: A Case Report and Minireview
Case Reports in Cardiology
title Percutaneous Coronary Intervention for Iatrogenic Right Coronary Artery Dissection Post Bentall Procedure: A Case Report and Minireview
title_full Percutaneous Coronary Intervention for Iatrogenic Right Coronary Artery Dissection Post Bentall Procedure: A Case Report and Minireview
title_fullStr Percutaneous Coronary Intervention for Iatrogenic Right Coronary Artery Dissection Post Bentall Procedure: A Case Report and Minireview
title_full_unstemmed Percutaneous Coronary Intervention for Iatrogenic Right Coronary Artery Dissection Post Bentall Procedure: A Case Report and Minireview
title_short Percutaneous Coronary Intervention for Iatrogenic Right Coronary Artery Dissection Post Bentall Procedure: A Case Report and Minireview
title_sort percutaneous coronary intervention for iatrogenic right coronary artery dissection post bentall procedure a case report and minireview
url http://dx.doi.org/10.1155/2018/3420721
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