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Perioperative management for iatrogenic aortocoronary dissection during percutaneous coronary intervention

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Abstract

Aortocoronary dissection is a rare but serious complication. We report the case of a 72-year-old female with angina. Percutaneous coronary intervention was performed for right coronary artery disease. Manipulation of the guiding catheter led to aortocoronary dissection. A drug-eluting stent was immediately implanted in the right coronary ostium to seal the entry of the dissection. Computed tomography (CT) showed ascending aortic dissection. The patient was observed without surgery. CT performed the following day and showed the contrast in the false lumen which had disappeared. Clinicians are more likely to avoid surgical treatment if stenting successfully seals the entry of the coronary dissection.

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Authors and Affiliations

  1. Department of Cardiovascular Surgery, Oita University, Faculty of Medicine, 1-1 Idaigaoka, Hasama-machi, Yufu, Oita, 879-5503, Japan

    Takashi Shuto, Hirofumi Anai, Jun Hirota, Tomoyuki Wada, Satoshi Takebayashi & Shinji Miyamoto

Authors
  1. Takashi Shuto
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  2. Hirofumi Anai
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  3. Jun Hirota
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  4. Tomoyuki Wada
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  5. Satoshi Takebayashi
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  6. Shinji Miyamoto
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Corresponding author

Correspondence to Takashi Shuto.

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The authors declare that they have no conflict of interest.

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All procedures performed in studies involving human participants were in accordance with the ethical standards of the institutional and/or national research committee and with the 1964 Helsinki declaration and its later amendments or comparable ethical standards.

This article does not contain any studies with animals performed by any of the authors.

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Written informed consent was obtained from the patient for publication of this case report.

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Shuto, T., Anai, H., Hirota, J. et al. Perioperative management for iatrogenic aortocoronary dissection during percutaneous coronary intervention. Cardiovasc Interv and Ther 32, 440–444 (2017). https://doi.org/10.1007/s12928-017-0461-1

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  • DOI: https://doi.org/10.1007/s12928-017-0461-1

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