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.
Aortocoronary dissection, percutaneous coronary intervention, stent, right coronary artery.
M. Nadeem Attar, Lancashire Cardiac Centre, Blackpool Victoria Hospital, Whinney Heys Road, Blackpool, FY3 8NR, UK
2011-07-03
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