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

被引：0
|
作者：
Hung, Ming-Yow [2 ,3 ]
Hung, Ming-Jui [1 ]
机构：
[1] Chang Gung Mem Hosp Keelung, Dept Cardiol, Keelung 20401, Taiwan
[2] Taipei Med Univ, Shuang Ho Hosp, Dept Internal Med, Div Cardiol, New Taipei City, Taiwan
[3] Taipei Med Univ, Coll Med, Sch Med, Dept Internal Med, Taipei, Taiwan
来源：
EUROINTERVENTION | 2012年 / 8卷 / 04期
关键词：
sinus of Valsalva dissection; coronary angioplasty; coronary stenting;
D O I：
10.4244/EIJV8I4A80
中图分类号：
R5 [内科学];
学科分类号：
1002 ; 100201 ;
摘要：
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: latrogenic 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.
引用
收藏
页码：520 / 521
页数：2
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