How should I treat a retrograde dissection of the aortic sinus of Valsalva during a percutaneous coronary intervention?

Ming Yow Hung, Ming Jui Hung

Research output: Contribution to journal › Article

1 Citation (Scopus)

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 languageEnglish
Pages (from-to)520-527
Number of pages8
JournalEuroIntervention
Volume8
Issue number4
DOIs
Publication statusPublished - Aug 2012

Fingerprint

Sinus of Valsalva
Percutaneous Coronary Intervention
Dissection
Coronary Vessels
Angioplasty
Echocardiography
Electrocardiography
Unstable Angina
Angiography
Therapeutics

Keywords

  • Coronary angioplasty
  • Coronary stenting
  • Sinus of Valsalva dissection

ASJC Scopus subject areas

  • Cardiology and Cardiovascular Medicine

Cite this

How should I treat a retrograde dissection of the aortic sinus of Valsalva during a percutaneous coronary intervention? / Hung, Ming Yow; Hung, Ming Jui.

In: EuroIntervention, Vol. 8, No. 4, 08.2012, p. 520-527.

Research output: Contribution to journal › Article

Hung, MY & Hung, MJ 2012, 'How should I treat a retrograde dissection of the aortic sinus of Valsalva during a percutaneous coronary intervention?', EuroIntervention, vol. 8, no. 4, pp. 520-527. https://doi.org/10.4244/EIJV8I4A80
Hung MY, Hung MJ. How should I treat a retrograde dissection of the aortic sinus of Valsalva during a percutaneous coronary intervention? EuroIntervention. 2012 Aug;8(4):520-527. https://doi.org/10.4244/EIJV8I4A80
Hung, Ming Yow ; Hung, Ming Jui. / How should I treat a retrograde dissection of the aortic sinus of Valsalva during a percutaneous coronary intervention?. In: EuroIntervention. 2012 ; Vol. 8, No. 4. pp. 520-527.
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AB - 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.

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