Abstract
BACKGROUND: A 53-year-old man presented with unstable angina and was found to have an occluded right coronary artery (RCA). A dissection of the aortic sinus of Valsalva (ASV) resulted from the retrograde extension of a dissection of the RCA by an angioplasty guidewire. INVESTIGATION: Diagnostic angiography, laboratory test, electrocardiography, echocardiography DIAGNOSIS: Iatrogenic dissection of the ASV from the retrograde extension of a dissection of the RCA, leading to total occlusion, by an angioplasty guidewire. TREATMENT: Medical therapy at discharge and during follow-up; laboratory test; electrocardiography; echocardiography; stenting of the occluded RCA with spontaneous re-appearance of distal blood flow two weeks later.
Original language | English |
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Pages (from-to) | 520-527 |
Number of pages | 8 |
Journal | EuroIntervention |
Volume | 8 |
Issue number | 4 |
DOIs | |
Publication status | Published - Aug 2012 |
Keywords
- Coronary angioplasty
- Coronary stenting
- Sinus of Valsalva dissection
ASJC Scopus subject areas
- Cardiology and Cardiovascular Medicine