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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

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

Kaynakça

  • 1. Rauh RA, Ninneman RW, Joseph D, Gupta VK, Senior DG, Miller WP. Accordion effect in tortuous right coronary arteries during percutaneous transluminal coronary angioplasty. Cathet Cardiovasc Diagn. 1991;23:107-10. 2. Tenaglia AN, Tcheng JE, Phillips HR, Stack RS. Creation of pseudonarrowing during coronary angioplasty. Am J Cardiol 1991;67:658-9. 3. Chung H, Lee SJ, Park JK, Choi IS, Won HY, Kim S, et al. Spontaneous coronary artery dissection mimicking coronary spasm diagnosed by intravascular ultrasonography. Korean Circ J. 2013;43:491-6. 4. Alvarez JAG, Leiva G, Manavella B, Cosentino A. Left main crumpling during left anterior descending angioplasty: Hitherto unreported location for the “accordion effect”. Cathet Cardiovasc Intervent 2001;52:363-7. 5. E. Puymirat, M. Vanderheyden, B. De Bruyne Accordion phenomenon induced by pressure wire Int J Cardiol, 148 (3) (2011), 375–376. 6. Goel PK, Agarwal A, Kapoor A. “Concertina” effect during angioplasty of tortuous right and left coronary arteries and importance of using over-the-wire system: a case report. Indian Heart J 2001;53(1):87-90. 7. Kilic ID, Yildiz BS, Alihanoglu YI, Evrengul H. The accordion phenomenon in the left anterior descending coronary artery. Tex Heart Inst J. 2014 ;41(5):562-3. 8. Valuckienė Z, Vasylius T, Unikas R. Left anterior descending coronary artery spasm and "accordion effect" mimicking coronary artery dissection. Medicina (Kaunas). 2014;50(5):309 11. 9. E. Puymirat, M. Vanderheyden, B. De Bruyne Accordion phenomenon induced by pressure wire Int J Cardiol, 148 (3) (2011);375–
Yıl 2017, Cilt: 7 Sayı: 4, 90 - 92, 13.12.2017

Öz

Kaynakça

  • 1. Rauh RA, Ninneman RW, Joseph D, Gupta VK, Senior DG, Miller WP. Accordion effect in tortuous right coronary arteries during percutaneous transluminal coronary angioplasty. Cathet Cardiovasc Diagn. 1991;23:107-10. 2. Tenaglia AN, Tcheng JE, Phillips HR, Stack RS. Creation of pseudonarrowing during coronary angioplasty. Am J Cardiol 1991;67:658-9. 3. Chung H, Lee SJ, Park JK, Choi IS, Won HY, Kim S, et al. Spontaneous coronary artery dissection mimicking coronary spasm diagnosed by intravascular ultrasonography. Korean Circ J. 2013;43:491-6. 4. Alvarez JAG, Leiva G, Manavella B, Cosentino A. Left main crumpling during left anterior descending angioplasty: Hitherto unreported location for the “accordion effect”. Cathet Cardiovasc Intervent 2001;52:363-7. 5. E. Puymirat, M. Vanderheyden, B. De Bruyne Accordion phenomenon induced by pressure wire Int J Cardiol, 148 (3) (2011), 375–376. 6. Goel PK, Agarwal A, Kapoor A. “Concertina” effect during angioplasty of tortuous right and left coronary arteries and importance of using over-the-wire system: a case report. Indian Heart J 2001;53(1):87-90. 7. Kilic ID, Yildiz BS, Alihanoglu YI, Evrengul H. The accordion phenomenon in the left anterior descending coronary artery. Tex Heart Inst J. 2014 ;41(5):562-3. 8. Valuckienė Z, Vasylius T, Unikas R. Left anterior descending coronary artery spasm and "accordion effect" mimicking coronary artery dissection. Medicina (Kaunas). 2014;50(5):309 11. 9. E. Puymirat, M. Vanderheyden, B. De Bruyne Accordion phenomenon induced by pressure wire Int J Cardiol, 148 (3) (2011);375–
Toplam 1 adet kaynakça vardır.

Ayrıntılar

Bölüm Olgu Sunumu
Yazarlar

Vahit Demir

Hüseyin Ede Bu kişi benim

Çağlar Alp Bu kişi benim

Yaşar Turan Bu kişi benim

Şıho Hidayet Bu kişi benim

Yayımlanma Tarihi 13 Aralık 2017
Yayımlandığı Sayı Yıl 2017 Cilt: 7 Sayı: 4

Kaynak Göster

APA Demir, V., Ede, H., Alp, Ç., Turan, Y., vd. (2017). SAĞ KORONER ARTERDE DİSEKSİYONU TAKLİT EDEN “AKORDEON FENOMENİ”: VAKA SUNUMU Case Report : “Accordion Phenomenon” In Right Coronary Artery Mimicking the Coronary Artery Dissection. Bozok Tıp Dergisi, 7(4), 90-92.
AMA Demir V, Ede H, Alp Ç, Turan Y, Hidayet Ş. SAĞ KORONER ARTERDE DİSEKSİYONU TAKLİT EDEN “AKORDEON FENOMENİ”: VAKA SUNUMU Case Report : “Accordion Phenomenon” In Right Coronary Artery Mimicking the Coronary Artery Dissection. Bozok Tıp Dergisi. Aralık 2017;7(4):90-92.
Chicago Demir, Vahit, Hüseyin Ede, Çağlar Alp, Yaşar Turan, ve Şıho Hidayet. “SAĞ KORONER ARTERDE DİSEKSİYONU TAKLİT EDEN “AKORDEON FENOMENİ”: VAKA SUNUMU Case Report : ‘Accordion Phenomenon’ In Right Coronary Artery Mimicking the Coronary Artery Dissection”. Bozok Tıp Dergisi 7, sy. 4 (Aralık 2017): 90-92.
EndNote Demir V, Ede H, Alp Ç, Turan Y, Hidayet Ş (01 Aralık 2017) SAĞ KORONER ARTERDE DİSEKSİYONU TAKLİT EDEN “AKORDEON FENOMENİ”: VAKA SUNUMU Case Report : “Accordion Phenomenon” In Right Coronary Artery Mimicking the Coronary Artery Dissection. Bozok Tıp Dergisi 7 4 90–92.
IEEE V. Demir, H. Ede, Ç. Alp, Y. Turan, ve Ş. Hidayet, “SAĞ KORONER ARTERDE DİSEKSİYONU TAKLİT EDEN “AKORDEON FENOMENİ”: VAKA SUNUMU Case Report : ‘Accordion Phenomenon’ In Right Coronary Artery Mimicking the Coronary Artery Dissection”, Bozok Tıp Dergisi, c. 7, sy. 4, ss. 90–92, 2017.
ISNAD Demir, Vahit vd. “SAĞ KORONER ARTERDE DİSEKSİYONU TAKLİT EDEN “AKORDEON FENOMENİ”: VAKA SUNUMU Case Report : ‘Accordion Phenomenon’ In Right Coronary Artery Mimicking the Coronary Artery Dissection”. Bozok Tıp Dergisi 7/4 (Aralık 2017), 90-92.
JAMA Demir V, Ede H, Alp Ç, Turan Y, Hidayet Ş. SAĞ KORONER ARTERDE DİSEKSİYONU TAKLİT EDEN “AKORDEON FENOMENİ”: VAKA SUNUMU Case Report : “Accordion Phenomenon” In Right Coronary Artery Mimicking the Coronary Artery Dissection. Bozok Tıp Dergisi. 2017;7:90–92.
MLA Demir, Vahit vd. “SAĞ KORONER ARTERDE DİSEKSİYONU TAKLİT EDEN “AKORDEON FENOMENİ”: VAKA SUNUMU Case Report : ‘Accordion Phenomenon’ In Right Coronary Artery Mimicking the Coronary Artery Dissection”. Bozok Tıp Dergisi, c. 7, sy. 4, 2017, ss. 90-92.
Vancouver Demir V, Ede H, Alp Ç, Turan Y, Hidayet Ş. SAĞ KORONER ARTERDE DİSEKSİYONU TAKLİT EDEN “AKORDEON FENOMENİ”: VAKA SUNUMU Case Report : “Accordion Phenomenon” In Right Coronary Artery Mimicking the Coronary Artery Dissection. Bozok Tıp Dergisi. 2017;7(4):90-2.
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