Intravascular ultrasound system-guided bail-out stent implantation for iatrogenic aortocoronary dissection: a case report.

ABSTRACT:

Background

Iatrogenic aortocoronary dissection (ACD) is a rare but potentially devastating complication of cardiac catheterization. We describe a case of an iatrogenic ACD following catheter engagement and balloon inflation of the proximal right coronary artery (RCA) during an elective percutaneous coronary intervention (PCI).

Case summary

An 81-year-old woman presented with an acute inferior wall ST-elevation myocardial infarction. Emergent coronary angiography revealed the three-vessel diseases. Primary PCI for the culprit lesion of the occluded mid-circumflex artery was successfully performed. After 10 days, an elective PCI for the residual RCA lesions was performed. After the balloon inflation of the proximal RCA, iatrogenic ACD was detected. Intravascular ultrasound-gui

SUBMITTER: Fukui T 

PROVIDER: S-EPMC10401319 | biostudies-literature | 2023 Aug

REPOSITORIES: biostudies-literature