A Case of Sac-Shaped Subadventitial Dissection of the Distal Right Coronary Artery Resulting from Pressure Generated During Contrast Injection

Abstract

Iatrogenic dissections during coronary interventions can be observed in daily practice. However, dissections due to opaque injection are much less common. Herein, we present a case of subaventitial dissection developed in the distal segment of right coronary artery after opaque injection. Dissection was not catheter-related and was conservatively treated as there was no leak out of the coronary artery.

Keywords

• Dissection,opaque,coroner

Sağ Koroner Arter Anjiyografisi Sırasında Opak Basıncına Bağlı Distalde Kese Görüntüsüne Neden Olan Subadventisiyal Diseksiyon Olgusu

Abstract

Koroner girişimleri sırasında iyatrojenik diseksiyonlar görülebilmektedir. Ancak opak enjeksiyonuna bağlı diseksiyon daha nadir görülmektedir. Biz sağ koroner artere opak enjeksiyonu sonrası kateter ile ilişkili olmayan, damar distalinde gelişen subadventisiyal diseksiyon olgusu sunduk. Damar dışına sızıntı olmayan hasta medikal tedavi edildi.

Keywords

• Diseksiyon,opak,koroner

References

1. 1. Antoniades D, Apostolakis S, Tzoras S, Lazaridis K. Iatrogenic right coronary artery dissection distal to a total occlusion: a case report. Cases Journal 2009;2:6797.
2. 2. El-Jack SS, Pornratanarangsi S, Webster MW. Images in cardiology. Covering your mis takes: PTFE covered stents in iatrogenic coronary artery dissection. Heart 2006;92:68.
3. 3. Ellis SG, Roubin GS. Angiographic and clinical predictors of acute closure after native vessel coronary angioplasty. Circulation 1988;77:372-9.
4. 4. Duyuler S, Türker Bayır P, Korkmaz A, Güray U, Lütfi Kısacık H. Coronary artery perforation during diagnostic coronary angiography resulting in acute pericarditis. Postep Kardiol Inter 2013;3:298-300.
5. 5. Dunning DW, Kahn JK, Hawkins ET, O’Neill WW. Iatrogenic coronary artery dissections extending in to and involving the aortic root. Catheter Cardiovasc Interv 2000;51:387-93.