Aortocoronary Dissection Resolved by Coronary Stenting Guided by Intracoronary Ultrasound

Hirotaka Oda; Katsuzi Hatada; Katsuyuki Sakai; Kazuyosi Takahasi; Tsutomu Miida; Norio Higuma

doi:10.1253/circj.68.389

Case Report

Aortocoronary Dissection Resolved by Coronary Stenting Guided by Intracoronary Ultrasound

Hirotaka Oda, Katsuzi Hatada, Katsuyuki Sakai, Kazuyosi Takahasi, Tsutomu Miida, Norio Higuma

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Keywords: Ascending aorta, Complication, Coronary sinus of Valsalva, Percutaneous coronary intervention

JOURNAL FREE ACCESS

2004 Volume 68 Issue 4 Pages 389-391

DOI https://doi.org/10.1253/circj.68.389

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Abstract

Percutaneous coronary intervention (PCI) was performed for chronic total occlusion of the proximal right coronary artery in a 70-year-old male with unstable angina. The forceful manipulation of the guide catheter led to an aortocoronary dissection involving the right Valsalva sinus and the ascending aorta. Intracoronary ultrasound (ICUS) showed the important characteristics of the dissection, enabling successful coronary stenting under ICUS guidance. (Circ J 2004; 68: 389 - 391)

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