Key result
RCA ostial stenting successfully treats extensive iatrogenic aortic dissection by preventing further progression.
Why the study?
Acute aortic dissection during coronary arteriography or PCI is rare but potentially dangerous, and stenting the coronary ostium can be a valid, life-saving therapeutic option.
Case Report (n=1)
No
Rapid stenting of the coronary ostium can be a life-saving therapeutic option for iatrogenic aorto-coronary dissection during catheterization.
Stenting the RCA ostium may stabilize acute iatrogenic aorto-coronary dissection; leaves open the need for prospective validation.
Acute aortic dissection during coronary arteriography or percutaneous coronary intervention is quite rare, but potentially dangerous complication In recent years, some reports have shown that stenting the ostium of the coronary artery (right coronary or left main artery) can be a valid, possibly life-saving therapeutic option. We describe a case in which a right coronary artery (RCA) dissection occurred during diagnostic coronary angyography and extended beyond the coronary ostium into the ascending aorta. Sealing of the aortic dissection and rescue of the RCA with stabilization of the patient was possible with rapid stenting of the right coronary ostium.
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Oktaj Maksudov (2020) conducted a case report in catheter-induced dissection of the right coronary artery and right coronary sinus of Valsalva (n=1). stenting of the RCA was evaluated on restoration of RCA flow and stabilization of patient. An extensive iatrogenic aortic dissection was successfully treated by stenting the ostium of the RCA, preventing further dissection progression and stabilizing the patient.
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