Key result
Coronary stenting successfully treated guidewire-induced right coronary artery and sinus of Valsalva dissection in two patients undergoing percutaneous coronary angioplasty.
Case Report (n=2)
Coronary stenting is a successful treatment for guidewire-induced dissection of the right coronary artery and sinus of Valsalva.
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Stenting may serve as bailout for these rare dissections; case reports leave open questions of safety, efficacy, and generalizability.
SUMMARY We describe two patients in whom right coronary artery dissection and retrograde dissection of the sinus of Valsalva occurred during guidewire advancement for percutaneous coronary angioplasty. Both patients were treated successfully by coronary stenting. These cases illustrate that contrast medium injection can detect early complications during guidewire advancement for coronary intervention.
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Hung et al. (2002) conducted a case report in Right coronary artery dissection and retrograde dissection of the sinus of Valsalva (n=2). Coronary stenting was evaluated on Treatment success. Coronary stenting successfully treated guidewire-induced right coronary artery and sinus of Valsalva dissection in two patients undergoing percutaneous coronary angioplasty.
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