| Extensive dissection to the right sinus of Valsalva in coronary angioplasty: case report. | |
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MedLine Citation:
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PMID: 10916231 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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Percutaneous transluminal coronary angioplasty was first introduced in 1977 by Gruentzig and now provides the option of nonsurgical revascularization for up to 1/2 of patients who undergo diagnostic catheterization for coronary artery disease. Today, although there have been great improvements in technology and operator experience, complications still occur during coronary angiography and revascularization. Coronary dissection, one of the most frequently occurring complications during angiography and angioplasty, occurs in various forms. However, right coronary dissection and retrograde extension to the aortic sinus of Valsalva is extremely unusual during an interventional procedure. We report such an unusual complication which occurred during balloon angioplasty and which was successfully managed by coronary stenting. This unusual complication may have potential risk of quickly involving the entire aorta, causing acute severe aortic regurgitation, acute myocardial infarction, requiring emergency surgery, and even resulting in death. Therefore, prompt diagnosis and management of this complication are very important. |
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Authors:
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H K Yip; C J Wu; K H Yeh; M Fu |
Publication Detail:
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Type: Case Reports; Journal Article |
Journal Detail:
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Title: Chang Gung medical journal Volume: 23 ISSN: 2072-0939 ISO Abbreviation: Chang Gung Med J Publication Date: 2000 May |
Date Detail:
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Created Date: 2000-08-10 Completed Date: 2000-08-10 Revised Date: 2008-12-16 |
Medline Journal Info:
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Nlm Unique ID: 101088034 Medline TA: Chang Gung Med J Country: CHINA (REPUBLIC: 1949- ) |
Other Details:
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Languages: eng Pagination: 296-302 Citation Subset: IM |
Affiliation:
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Department of Internal Medicine, Chang Gung Memorial Hospital, Kaohsiung, Taiwan, R.O.C. |
Export Citation:
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APA/MLA Format Download EndNote Download BibTex |
| MeSH Terms | |
Descriptor/Qualifier:
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Angioplasty, Transluminal, Percutaneous Coronary
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adverse effects* Female Humans Middle Aged Sinus of Valsalva / injuries* Stents |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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