A 74-year-old man was admitted to our hospital with sudden onset severe chest pain.Electrocardiogram showed ischemic ST-segment elevation at anterior leads. The patient wastaken to the catheterization laboratory for primary percutaneous coronary intervention.ChoICE® PT (Polymer Tip) floppy guide wire crossed the lesion subintimally. Simultaneouslythe patient had a new onset chest pain. Coronary angiography was proceeded which revealeda dissection in the proximal LAD until first diagonal branch (D1). On the right caudalprojection very long dissections were detected in the proximal to distal parts of circumflexand intermediary arteries without any limitation in the distal coronary flow
74 yaşında erkek hasta ani başlangıçlı göğüs ağrısıyla hastanemize başvurdu.Elektrokardiyografi (EKG)’de anterior derivasyonlarda ST segment elevasyonu mevcuttu.Hasta primer perkutanöz koroner girişim amaçlı kateter laboratuarına alındı. ChoICE® PT(Polimer Tip) kılavuz tel lezyondan subintimal olarak ilerledi. Bu esnada hastada göğüs ağrısıbaşladı. Anjiyografide proksimal LAD den 1.diagonal (D1)’e kadar diseksiyon saptandı. Sağkaudal pozda sirkumfleks (Cx) ve İntermedier arterde proksimalden distale kadar distal akımıkısıtlamayan diseksiyon saptandı
Primary Language | English |
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Journal Section | Letter to Editor |
Authors | |
Publication Date | March 1, 2013 |
Published in Issue | Year 2013 Volume: 15 Issue: 1 |