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An unusual complication of coronary angiography: Bidirectional dissection of the right coronary artery and the ascending aorta

2007; Elsevier BV; Volume: 132; Issue: 1 Linguagem: Inglês

10.1016/j.ijcard.2007.07.104

1874-1754

Antoine Sarkis, Salem Maaliki, Antoine Haddad, Joe Hatem, Georges Ghanem,

Cardiac Valve Diseases and Treatments

Iatrogenic aortocoronary dissection is a rare but devastating complication of percutaneous coronary interventions. The authors present the case of a 45 years old woman admitted for anginal chest pain. She underwent coronary angiography and developed complete anterograde dissection of the right coronary artery simultaneously with retrograde extensive propagation to the ascending aorta. Failure to attempt stenting because of altered hemodynamics and intractable chest pain prompted an emergent bypass surgery with treatment of the aortic dissection. Causes and modalities of treatment of iatrogenic aortocoronary dissections are discussed.