A case of spiral dissection during diagnostic coronary angiography.
- Author:
Sang Yup LIM
1
;
Myung Ho JEONG
;
Weon KIM
;
Young Keun AHN
;
Jeong Gwan CHO
;
Jong Chun PARK
;
Jung Chae KANG
Author Information
1. The Heart Center of Chonnam National University Hospital, The Chonnam National University Research Institute of Medical Sciences, Gwangju, Korea. myungho@chollian.net
- Publication Type:Case Report
- Keywords:
Coronary diseases;
Catheters;
Complications
- MeSH:
Adult;
Catheters;
Chest Pain;
Constriction, Pathologic;
Coronary Angiography*;
Coronary Disease;
Coronary Vessels;
Electrocardiography;
Female;
Follow-Up Studies;
Humans;
Phenobarbital;
Ultrasonography
- From:Korean Journal of Medicine
2003;65(3):361-364
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
Severe, occlusive spiral dissection during diagnostic coronary angiogram is very rare. A 41-year old female patient was admitted because of chest pain at night. Her left coronary angiogram revealed no significant stenosis with diffuse luminal narrowing. Immediately after right coronary artery (RCA) injection, sudden occlusion of middle RCA was noted, which was not improved despite multiple injections of intracoronary nitrate. The patient complained of severe chest pain and ST segment elevation was observed on electrocardiogram monitoring. After wiring into true lumen of RCA, distal flow was improved and intravascular ultrasound revealed spiral dissection flap extending from proximal to middle RCA. Final coronary angioram showed patent RCA with spiral dissection and good distal flow into the distal RCA. The patient had no clinical events during 2-month clinical follow-up.
