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 › peer-review

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

Keywords

  • Coronary angioplasty
  • Coronary stenting
  • Sinus of Valsalva dissection

ASJC Scopus subject areas

  • Cardiology and Cardiovascular Medicine

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