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Percutaneous coronary stenting in guide-induced aortocoronary dissection: angiographic and CT findings

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Abstract

We report here on a case of accidental aortocoronary dissection that occurred during the engagement of a guiding catheter. This resulted in an antegrade dissection into the right coronary artery, and a retrograde extension of the dissection into the Sinus of Valsalva and the ascending aorta up to the aortic arch. It was successfully treated with a stent deployment at the RCA ostium; this restored optimal coronary blood flow and there was a complete resolution of the aortic dissection as was documented by coronary angiography and the follow-up CT scan.

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Abbreviations

LAD:

left anterior descending artery

RCA:

right coronary artery

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Authors and Affiliations

  1. Department of Cardiology, Wonju College of Medicine, Yonsei University, 162 Ilsan-Dong, 220 701, Wonju, Republic of Korea

    Jang-Young Kim, Junghan Yoon, Hyun-Sook Jung, Byung-Su Yoo & Seung-Hwan Lee

Authors
  1. Jang-Young Kim
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  2. Junghan Yoon
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  3. Hyun-Sook Jung
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  4. Byung-Su Yoo
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  5. Seung-Hwan Lee
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Correspondence to Junghan Yoon.

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Kim, JY., Yoon, J., Jung, HS. et al. Percutaneous coronary stenting in guide-induced aortocoronary dissection: angiographic and CT findings. Int J Cardiovasc Imaging 21, 375–378 (2005). https://doi.org/10.1007/s10554-004-6137-9

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  • DOI: https://doi.org/10.1007/s10554-004-6137-9

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