Key result
Rotational atherectomy for ostial RCA disease leads to ostial dissection and severe aortic regurgitation.
Why the study?
Rotational atherectomy is increasingly used but has recognized complications, with novel complications requiring further awareness and investigation.
Case Report (n=1)
Highlights a rare but severe complication of aortic cusp perforation during rotational atherectomy of an ostial right coronary artery lesion, emphasizing the role of multimodality imaging.
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Rotational atherectomy in ostial calcified RCA risks severe aortic regurgitation; this case leaves open optimal technique and patient selection.
Shah et al. (2023) conducted a case report in Non-ST-segment elevation acute coronary syndrome with severely calcified ostial right coronary artery disease (n=1). Rotational atherectomy was evaluated. Rotational atherectomy for severely calcified ostial right coronary artery disease was complicated by ostial dissection and severe aortic regurgitation requiring aortic valve replacement.
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