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

页码：520 / 521

页数：2

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