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Journals
Romanian Journal of Cardiology
Volume 33 (2023): Issue 1 (March 2023)
Open Access
Iatrogenic Acute Aortic Dissection Complicating Coronary Catheterization
Liviu Macovei
Liviu Macovei
,
Marius Adoamnei
Marius Adoamnei
,
Irina Dumitrescu
Irina Dumitrescu
and
Raluca-Mihaela Panţiru
Raluca-Mihaela Panţiru
| Mar 18, 2023
Romanian Journal of Cardiology
Volume 33 (2023): Issue 1 (March 2023)
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Article Category:
Case Report
Published Online:
Mar 18, 2023
Page range:
25 - 28
DOI:
https://doi.org/10.2478/rjc-2023-0004
Keywords
iatrogenic
,
dissection
,
percutaneous coronary intervention
,
Resolute Integrity Drug Eluting Stent
© 2023 Liviu Macovei et al., published by Sciendo
This work is licensed under the Creative Commons Attribution 4.0 International License.
Figure 1
LAO caudal view of selective left coronary angiography. Critical stenosis of ostial and mid LAD, significant stenosis of proximal LCX, chronic total occlusion of distal LCX. Retrograde filling of distal RCA through collaterals from LAD (arrow). LAO view: complete thrombotic occlusion of proximal RCA.
Figure 2
Type D RCA dissection extending to ascending aorta, consistent with class III Dunning aorto-coronary dissection.
Figure 3A
Stenting the origin of the dissection.
Figure 3B
Deployment of the third stent through “buddy wire” technique.
Figure 4
LAO cranial view of selective RCA angiography post-stenting.
Figure 5
Computed tomography with contrast in a transverse section at RCA ostium level shows closed intimal flap, without evidence of false lumen.