Aykun Hakgör, Oğuzhan Bodur, B. Keskin, S. Tanyeri, A. Karagöz
{"title":"医源性冠状动脉夹层:经皮冠状动脉介入治疗中需要紧急诊断和治疗的危及生命的并发症","authors":"Aykun Hakgör, Oğuzhan Bodur, B. Keskin, S. Tanyeri, A. Karagöz","doi":"10.51645/KHJ.20045","DOIUrl":null,"url":null,"abstract":"An elderly female patient presented with non-st elevation myocardial infarction, and stent implantation was performed into the right coronary artery (RCA). An aortic dissection, starting from the RCA ostium and extending to both right sinus valsalva and the ascending aorta (AA) occurred due to deep guiding catheter intubation during post-dilatation with non-compliant balloon. Immediately, another coronary stent was implanted in the RCA ostium and plunged into the AA by 2 mm, with a purpose of covering the entry point of the dissection. The patient underwent emergency surgery consisting of AA replacement and RCA by-pass grafting due to insufficient response for stenting. However, the patient died due to pump disfunction 10 hours after surgery.","PeriodicalId":239985,"journal":{"name":"Koşuyolu Heart Journal","volume":"15 1","pages":"0"},"PeriodicalIF":0.0000,"publicationDate":"2020-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":"{\"title\":\"Iatrogenic Aortocoronary Dissection: A Life Threatening Complication During Percutaneous Coronary Intervention Requiring Urgent Diagnosis and Treatment\",\"authors\":\"Aykun Hakgör, Oğuzhan Bodur, B. Keskin, S. Tanyeri, A. Karagöz\",\"doi\":\"10.51645/KHJ.20045\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"An elderly female patient presented with non-st elevation myocardial infarction, and stent implantation was performed into the right coronary artery (RCA). An aortic dissection, starting from the RCA ostium and extending to both right sinus valsalva and the ascending aorta (AA) occurred due to deep guiding catheter intubation during post-dilatation with non-compliant balloon. Immediately, another coronary stent was implanted in the RCA ostium and plunged into the AA by 2 mm, with a purpose of covering the entry point of the dissection. The patient underwent emergency surgery consisting of AA replacement and RCA by-pass grafting due to insufficient response for stenting. However, the patient died due to pump disfunction 10 hours after surgery.\",\"PeriodicalId\":239985,\"journal\":{\"name\":\"Koşuyolu Heart Journal\",\"volume\":\"15 1\",\"pages\":\"0\"},\"PeriodicalIF\":0.0000,\"publicationDate\":\"2020-12-01\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"Koşuyolu Heart Journal\",\"FirstCategoryId\":\"1085\",\"ListUrlMain\":\"https://doi.org/10.51645/KHJ.20045\",\"RegionNum\":0,\"RegionCategory\":null,\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"\",\"PubModel\":\"\",\"JCR\":\"\",\"JCRName\":\"\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"Koşuyolu Heart Journal","FirstCategoryId":"1085","ListUrlMain":"https://doi.org/10.51645/KHJ.20045","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"","JCRName":"","Score":null,"Total":0}
Iatrogenic Aortocoronary Dissection: A Life Threatening Complication During Percutaneous Coronary Intervention Requiring Urgent Diagnosis and Treatment
An elderly female patient presented with non-st elevation myocardial infarction, and stent implantation was performed into the right coronary artery (RCA). An aortic dissection, starting from the RCA ostium and extending to both right sinus valsalva and the ascending aorta (AA) occurred due to deep guiding catheter intubation during post-dilatation with non-compliant balloon. Immediately, another coronary stent was implanted in the RCA ostium and plunged into the AA by 2 mm, with a purpose of covering the entry point of the dissection. The patient underwent emergency surgery consisting of AA replacement and RCA by-pass grafting due to insufficient response for stenting. However, the patient died due to pump disfunction 10 hours after surgery.
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