SAĞ KORONER ARTERDE DİSEKSİYONU TAKLİT EDEN “AKORDEON FENOMENİ”: VAKA SUNUMU Case Report : “Accordion Phenomenon” In Right Coronary Artery Mimicking the Coronary Artery Dissection

Yıl 2017, Cilt: 7 Sayı: 4, 90 - 92, 13.12.2017

Vahit Demir , Hüseyin Ede Çağlar Alp Yaşar Turan Şıho Hidayet

Öz

Akordeon etkisi tortiyoze arterlerin bir psödolezyonu olup, yalancı diseksiyon, spazm, trombüs

ve emboli görünümü ile karışabilir. Bu durum hekimlerde büyük bir endişe uyandırır.

Klinik uygulamada perkütan koroner girişim esnasında koroner arter diseksiyonunun görülmesi

yaygındır. Gereksiz müdahalelerden kaçınmak için akordeon etkisi ile perkütan koroner

girişimin potansiyel komplikasyonları arasında ayırıcı tanı yapmak gerekir. Bundan dolayı girişimsel

kardiyologların koroner girişimler sırasında akordeon etkisini akıllarında bulundurmaları

gerekmektedir. Burada, stabil anjina pektoris tanısıyla başvuran koroner anjiografide

sağ koroner arterin proximal segmentinde akordeon etkisi bulunan 75 yaşında bir olgu sunulmuştur.

Anahtar Sözcu¨kler: Akordeon etkisi; Psödolezyon; Sağ koroner arter

ABSTRACT

The accordion effect is a pseudolesion of the tortuous arteries that may be interfered with

false dissection, spasm, thrombus and embolism. This is a major concern for physicians.

In clinical practice, coronary artery dissection is common during percutaneous coronary

intervention. It is essential to make the differential diagnosis between the accordion

phenomenon and potential complications of percutaneous coronary interventions, to avoid

further therapeutic intervention. Therefore, interventional cardiologists should remember

the accordion effect during coronary interventions. Here, we reported a 75-year-old man,

with accordion effect in proximal segment of right coronary artery, detected in coronary

angiography and presented with stable angina pectoris.

Keywords: Accordion effect; Pseudolesion; Right coronary artery

Anahtar Kelimeler

SAĞ KORONER ARTERDE DİSEKSİYONU TAKLİT EDEN “AKORDEON FENOMENİ”: VAKA SUNUMU Case Report : “Accordion Phenomenon” In Right Coronary Artery Mimicking the Coronary Artery Dissection

Kaynakça

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