Document Detail

Simultaneous right and left coronary occlusion caused by an extensive dissection to the coronary sinus of Valsalva during percutaneous intervention in right coronary artery.
MedLine Citation:
PMID:  19809214     Owner:  NLM     Status:  MEDLINE    
We report a case of simultaneous right and left coronary occlusion during percutaneous coronary intervention in the right coronary artery. An aortocoronary dissection induced by the forceful manipulation extended from the right to left sinus of Valsalva and occluded the ostia of both coronary arteries. The patient suffered cardiogenic shock and ventricular fibrillation. However, after successful rapid stenting to right and left coronary arteries, safe discharge was possible.
Makoto Sekiguchi; Naoki Sagawa; Akito Miyajima; Shuichi Hasegawa; Masao Yamazaki; Masahiko Kurabayashi
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Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  International heart journal     Volume:  50     ISSN:  1349-2365     ISO Abbreviation:  -     Publication Date:  2009 Sep 
Date Detail:
Created Date:  2009-10-07     Completed Date:  2009-11-10     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  101244240     Medline TA:  Int Heart J     Country:  Japan    
Other Details:
Languages:  eng     Pagination:  663-7     Citation Subset:  IM    
Department of Cardiology, Fukaya Red Cross Hospital, Saitama, Japan.
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MeSH Terms
Aged, 80 and over
Aneurysm, Dissecting / etiology*
Angioplasty, Transluminal, Percutaneous Coronary / adverse effects*
Aortic Aneurysm / etiology*
Coronary Stenosis / therapy*
Drug-Eluting Stents
Sinus of Valsalva*

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