Perforation of the sinus of Valsalva by guiding catheter during the percutaneous coronary intervention via the right transradial approach: A very unusual complication

2011 ◽  
Vol 78 (6) ◽  
pp. 888-891 ◽  
Author(s):  
Francesco Tomassini ◽  
Andrea Gagnor ◽  
Ferdinando Varbella
Keyword(s):  
Percutaneous Coronary Intervention ◽  
Coronary Intervention ◽  
Unusual Complication ◽  
Sinus Of Valsalva ◽  
Transradial Approach ◽  
Percutaneous Coronary ◽  
The Right ◽  
Guiding Catheter

scholarly journals Percutaneous coronary intervention of a single coronary artery arising from the right sinus of Valsalva

2009 ◽  
Vol 54 (2) ◽  
pp. 322-325 ◽  
Author(s):  
Masatake Sato ◽  
Tomoaki Okada ◽  
Akitoshi Ohara ◽  
Takaaki Aoki ◽  
Iwao Kawamoto
Keyword(s):  
Percutaneous Coronary Intervention ◽  
Coronary Artery ◽  
Coronary Intervention ◽  
Single Coronary Artery ◽  
Sinus Of Valsalva ◽  
Percutaneous Coronary ◽  
The Right

scholarly journals Percutaneous Coronary Intervention for High Takeoff Left Main Coronary Artery: A Case Report

2018 ◽  
Vol 03 (04) ◽  
pp. 237-239
Author(s):  
Seetharam Vankudoth ◽  
Madhurima Banoth
Keyword(s):  
Percutaneous Coronary Intervention ◽  
Case Reports ◽  
Coronary Intervention ◽  
Anterior Wall ◽  
Left Main ◽  
Stent Restenosis ◽  
Percutaneous Coronary ◽  
The Right ◽  
Diagnostic Catheter ◽  
Guiding Catheter

AbstractPercutaneous coronary intervention (PCI) for high takeoff left main is challenging, as it poses difficulties with the engagement of the guiding catheter and establishment of backup support. This report examines the case of a 53-year-old woman with history of anterior wall myocardial infarction with a ventricular septal defect (VSD), who was treated with left anterior descending (LAD) angioplasty and VSD device closure done 4 years back, and now she presented with unstable angina. After successful engagement of 5F Tiger diagnostic catheter through a right radial artery, the angiography revealed an 80% stenosis of the proximal LAD and in-stent restenosis 70% of mid-LAD. The authors tried to engage the left coronary system through the right femoral artery with 6F Judkins left, 6F Amplatzer left, 6F EBU, and 6F XBU. They could not cannulate because of high takeoff left main, so they switched to right radial access. Then they engaged a 6F 3.5 EBU catheter. Due to the weak backup support of the guiding catheter, they used another wire to stabilize it and the stent was implanted successfully. This is one of the rare case reports of PCI for high takeoff left main.

scholarly journals Successful Ostial Stenting in a Patient with a Single Coronary Artery from the Right Sinus of Valsalva: A Case Report

2018 ◽  
Vol 13 (3) ◽  
Author(s):  
Hossein Doustkami ◽  
Afshin Habibzadeh
Keyword(s):  
Myocardial Infarction ◽  
Acute Myocardial Infarction ◽  
Percutaneous Coronary Intervention ◽  
Coronary Intervention ◽  
Single Coronary Artery ◽  
Coronary Anomaly ◽  
Sinus Of Valsalva ◽  
Percutaneous Coronary ◽  
The Right ◽  
Ostial Lesion

Single coronary arteries (SCAs) constitute a rare coronary anomaly which is usually asymptomatic. However, SCAs may become symptomatic and even cause myocardial ischemia and infarction and as such necessitate proper intervention whether percutaneous or surgical. We describe an 89-year-old woman with an SCA from the right sinus of Valsalva presenting with chest pain and acute myocardial infarction. We succeeded in performing percutaneous coronary intervention and stenting on the ostial lesion of the SCA, and there were no further complications. The patient was discharged 2 days later with no adverse complications.

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