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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Format: | Article |
Language: | English |
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Wiley
2018-01-01
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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. |
format | Article |
id | doaj-art-b42dc1843d094f2084f854d7b9fe78c2 |
institution | Kabale University |
issn | 2090-6404 2090-6412 |
language | English |
publishDate | 2018-01-01 |
publisher | Wiley |
record_format | Article |
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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