Accidental injury of the right coronary artery during angioplasty of the left coronary system

Abstract

Injury to coronary arteries can occur during diagnostic and therapeutic interventions. It is more common with angioplasty with certain guide catheters such as Amplatz catheter. The dissection is more common in ascending aorta with extension to the coronary arteries. We hereby report a case of right coronary artery (RCA) dissection without concurrent aortic dissection caused by injury with extra-backup left guide catheter during angioplasty of left anterior descending artery successfully managed by stenting of RCA from ostium with drug-eluting stent.