- 期刊
An Experience of Catheter-Induced Aortocoronary Dissection Complicated by Subtle Coronary Perforation
並列摘要
Aortocoronary dissection and coronary perforation are rare complications of percutaneous coronary intervention (PCI). We present a 68-year-old man with aortocoronary dissection involving the right coronary artery (RCA) and ascending aorta during PCI. We tried to seal off the entry site by using conventional stenting but failed. After reviewing angiograms, a subtle leakage of contrast into the pericardial space before stenting led us to the diagnosis of coronary perforation. Finally, we successfully treated this complication by deploying a covered stent. This case report reminds us that coronary perforation could be missed if there is only subtle contrast jet in the angiogram. Prompt treatment with conventional stenting may be harmful for coronary perforation. Detailed review of angiograms before management of coronary dissection is mandatory.
延伸閱讀
- Lin, T. H., Lee, K. T., Chiu, C. C., Lai, W. T., Lin, Y. Y., & Sheu, S. H. (2003). Spontaneous Left Main Coronary Artery Dissection: A Case Report. The Kaohsiung Journal of Medical Sciences, 19(9), 476-480. https://www.airitilibrary.com/Article/Detail?DocID=02575655-200309-19-9-476-480-a
- Lin, M. H., Hsiao, Y. P., & Cheng, J. J. (2020). Reactive Angioendotheliomatosis Secondary to Perforated Peptic Ulcer Surgery in a Patient with Coronary Artery Disease. 中山醫學雜誌, 31(1), 61-65. https://www.airitilibrary.com/Article/Detail?DocID=16803108-202006-202007070014-202007070014-61-65
- Tu, C. M., Taso, T. P., Chu, K. M., Cheng, S. M., & Lin, W. S. (2010). Long Segmental Right Coronary Artery Dissection Successfully Treated by Percutaneous Coronary Intervention. Journal of Medical Sciences, 30(5), 221-224. https://doi.org/10.6136/JMS.2010.30(5).221
- Lee, W. C., Wu, C. J., & Fang, H. Y. (2016). Coronary perforation during balloon anchoring after rotational atherectomy of chronic total occlusion of coronary vessel. International Journal of Case Reports and Images (IJCRI), 7(10), ix+666-670. https://doi.org/10.5348/ijcri-2016118-CR-10706
- Chang, D. S., Chen, Y. F., Chiu, C. C., & Yen, H. W. (1995). The Use of Right Gastroepiploic Artery for the Bypass of Left Anterior Descending Coronary Artery - Case Reports. The Kaohsiung Journal of Medical Sciences, 11(7), 416-419. https://doi.org/10.6452/KJMS.199507.0416