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Hypertension is the leading modifiable risk factor for global cardiovascular disease, responsible for an estimated 10.8 million deaths and more than 200 million disability-adjusted life years annually.1 Despite the availability of effective pharmacological and lifestyle interventions, prevalence continues to rise, particularly in low- and middle-income countries (LMICs), where over three-quarters of all cases now occur.2 The condition’s […]

Iatrogenic aortocoronary dissection successfully treated by coronary intervention

M. Nadeem Attar, Roger Bury, Gavin Galasko
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Published Online: Aug 7th 2018 Heart International 2011;6(2):e15 DOI: https://doi.org/10.4081/hi.2011.e15
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Abstract

Overview

A 77-year old male retired decorator presented
with an 18-month history of exertional
dyspnea. Coronary angiography was performed
via the right femoral artery using 6
French JL4 and JR4 diagnostic catheters. A
catheter possibly seated in a plaque caused
dissection of the right coronary artery with the
injection of the contrast. Timely coronary
intervention with stenting resulted in sealing
the entry point with complete healing of the
aortic root and TIMI-3 patency of the right
coronary artery. Major cardiac surgery was,
therefore, averted.

Keywords

Aortocoronary dissection, percutaneous coronary intervention, stent, right coronary artery.

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Article Information

Correspondence

M. Nadeem Attar, Lancashire Cardiac Centre, Blackpool Victoria Hospital, Whinney Heys Road, Blackpool, FY3 8NR, UK

Received

2011-07-03

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