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A patient came back with retrograde coronary flow in the distal right coronary artery 2 years after coronary intervention: clinical significance of retrograde coronary flow to detect coronary artery occlusion

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Abstract

A 69-year-old male patient, who had a history of coronary stent implantation to the proximal right coronary artery (RCA), presented with exertional chest pain. Transthoracic Doppler echocardiography revealed retrograde coronary flow in the distal RCA, and treadmill stress echocardiography revealed inducible myocardial ischemia in the inferior and posterior segments. Coronary angiography demonstrated a severe stenotic lesion with flow delay in the mid RCA and collateral circulation to the distal RCA from the left coronary artery. Detection of retrograde coronary flow in the distal RCA using transthoracic Doppler echocardiography is a useful method to diagnose subtotal occlusion of the RCA.

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References

  1. Watanabe N, Akasaka T, Yamaura Y, et al. Noninvasive detection of total occlusion of the left anterior descending coronary artery with transthoracic Doppler echocardiography. J Am Coll Cardiol. 2001;38:1328–32.

    Article  PubMed  CAS  Google Scholar 

  2. Hirata K, Watanabe H, Hozumi T, et al. Simple detection of occluded coronary artery using retrograde flow in septal branch and left anterior descending coronary artery by transthoracic Doppler echocardiography at rest. J Am Soc Echocardiogr. 2004;17:108–13.

    Article  PubMed  Google Scholar 

  3. Otsuka R, Watanabe H, Hirata K, et al. A novel technique to detect total occlusion in the right coronary artery using retrograde flow by transthoracic Doppler echo-cardiography. J Am Soc Echocardiogr. 2005;18:704–9.

    Article  PubMed  Google Scholar 

  4. Boshchenko AA, Vrublevsky AV, Karpov RS. Transthoracic echocardiography in the detection of chronic total coronary artery occlusion. Eur J Echocardiogr. 2009;10:62–8.

    Article  PubMed  Google Scholar 

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Authors and Affiliations

  1. Takagi Cardiology Clinic, Mibu Kayogosho-cho 3-3, Nakagyo-ku, Kyoto, 604-8811, Japan

    Tsutomu Takagi

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  1. Tsutomu Takagi
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Correspondence to Tsutomu Takagi.

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Takagi, T. A patient came back with retrograde coronary flow in the distal right coronary artery 2 years after coronary intervention: clinical significance of retrograde coronary flow to detect coronary artery occlusion. J Echocardiogr 10, 24–26 (2012). https://doi.org/10.1007/s12574-011-0106-9

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  • DOI: https://doi.org/10.1007/s12574-011-0106-9

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