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Cardiovascular diseases are the most common cause of mortality and morbidity in adults worldwide.1 Coronary angiography (CAG) is the gold standard method for evaluating atherosclerotic coronary artery disease (CAD).2 It is conventionally performed via the trans-femoral (TF) route. Recently, however, the trans-radial (TR) route has become the preferred way.3 The TR route offers better procedure comfort, shorter hospitalization […]

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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1

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.

2

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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