Stent İmplantasyonunun Nadir Bir Komplikasyonu: Aortokoroner Diseksiyon

Abstract

Koroner stent implantasyonu sırasında sinüs valsalvaya ilerleyen retrograde koroner diseksiyon olgusunu sunduk. Olgu stent implantasyonu ile operasyon ihtiyacı olmadan optimal koroner kan akımı ve aortik diseksiyonun tedavisi ile sonuçlandırıldı.

Keywords

• Koroner stentleme,retrograd koroner diseksiyon

A Rare Complication of Stent Implantation: Aortocoronary Dissection

Abstract

We report a case of aortocoronary dissection during percutaneous transluminal coronary stent implantation, which resulted from a progressively retrograde extension of the coronary dissection into the sinus of Valsalva. It was successfully treated with stenting without an operation, resulting in optimal coronary blood flow and diminution of the aortic dissection.

Keywords

• Coronary stenting,retrograde coronary dissection

References

1. 1. Hermans WR, Foley DP, Rensing BJ, Rutsch W. Usefulness of quantitative and qualitative angiographic lesion morphology, and clinical characteristics in predicting major adverse cardiac events during and after native coronary balloon angioplasty. Am J Cardiol 1993;72:14-20.
2. 2 Carter AJ, Brinker JA. Dissection of the ascending aorta with coronary angiography. Am J Cardiol 1994;73:922-3.
3. 3. Freed M, Grines C, Safian RD. The new mannual of interventional cardiology. 2nd Ed. Michigan: Physicians’ Press, 1996:366-7.
4. 4. Tsunoda F, Shirota K, Inoue Y, Ishii H, Sugihara S, Mimura A. Pinhole balloon rupture and stuck stent: case report of a new and simple bailout technique for incomplete stent dilatation caused by rupture from a highly calcified lesion. Cardiovasc Interv Ther 2014;29:376-80.
5. 5. Dittel M, Prachar H, Mlczoch J. [Dissection of the left coronary main branch by balloon rupture during stent implantation. A case report]. Z Kardiol 1994;83:161-4.
6. 6. Dunning DW, Kahn JK, Hawkins ET, O’Neill WW. Iatrogenic coronary artery dissections extending into and involving the aortic root. Catheter Cardiovasc Interv 2000;51:387-93.
7. 7. Ellis SG, Roubin GS, King SB 3rd, Douglas JS Jr, Weintraub WS, Thomas RG, et al. Angiographic and clinical predictors of acute closure after native vessel coronary angioplasty. Circulation 1988;77:372-9.
8. 8. Shorrock D, Michael TT, Patel V, Kotsia A, Rangan BV, Abdullah SA, et al. Frequency and outcomes of aortocoronary dissection during percutaneous coronary intervention of chronic total occlusions: A case series and systematic review of the literature. Catheter Cardiovasc Interv 2014;84:670-5.

9. 9. Bae JH, Kim KB, Kim KS, Kim YN. A case of aortocoronary dissection as a complication during a percutaneous transluminal oronary angioplasty. Int J Cardiol 1998;66:237-40.