A Case of Retrograde Dissection at the Right Sinus of Valsalva Resulted from Dissection of Right Coronary Artery during Ergonovine Test.
- Author:
Myung Dong LEE
1
;
Dae Hyeok KIM
;
Sung Hee SHIN
;
Seong Il WOO
;
Jea Ho YE
;
Jung Hwan LEE
;
Ji Jung JEONG
Author Information
1. Department of Internal Medicine, Inha University Hospital, Inha University School of Medicine, Incheon, Korea. kdhmd@inha.ac.kr
- Publication Type:Case Report
- Keywords:
Right coronary artery dissection;
Aortic dissection;
Coronary angiography;
Ergonovine test
- MeSH:
Angiography;
Catheterization;
Catheters;
Chest Pain;
Coronary Angiography;
Coronary Vessels;
Ergonovine;
Humans;
Male;
Myocardial Infarction;
Percutaneous Coronary Intervention;
Sinus of Valsalva;
Stents
- From:Soonchunhyang Medical Science
2011;17(2):127-130
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
Retrograde dissection extending into the sinus of Valsalva is a rare complication during percutaneous coronary intervention. That may occur due to trauma to the ostium from catheter manipulation and may sometimes require surgical repair. A 50-year old male patient was admitted because of chest pain. During catheterization of the right coronary artery (RCA) after ergonovine test, we encountered coronary artery dissection with retrograde dissection of right sinus of Valsalva leading to RCA occlusion. Then we placed coronary artery stent (4.0x24 mm Driver stent) at right coronary artery ostium and his coronary blood flow of RCA was recovered and no further extension of dissection was observed. Here, we present a case of acute myocardial infarction which resulted from the acute dissection of the sinus of Valsalva with obstruction of the right coronary ostia by intimal flap during angiography.
