scholarly journals Successful Percutaneous Coronary Intervention through a Severely Bent Artificial Ascending Aorta Using the DIO Thrombus Aspiration Catheter

2016 ◽  
Vol 2016 ◽  
pp. 1-3
Author(s):  
Akinori Fujikake ◽  
Takaaki Komatsu ◽  
Isao Taguchi
Keyword(s):  
Coronary Artery ◽  
Left Coronary Artery ◽  
Coronary Intervention ◽  
Ascending Aorta ◽  
Thrombus Aspiration ◽  
Coronary Syndrome ◽  
Coronary Artery Angiography ◽  
Percutaneous Coronary ◽  
The Right ◽  
Selection Of

A 66-year-old man was admitted to our institute because of chest pain. He had undergone replacement of the ascending aorta due to aortic dissection 9 years previously. We made a diagnosis of acute coronary syndrome, and coronary artery angiography was performed. Although the right coronary artery was successfully cannulated, a severe bend of the artificial aorta made it very difficult to advance the catheter into the left coronary artery. Ultimately, a DIO thrombus aspiration catheter was used to enter the left coronary artery, and a stent was implanted successfully. The DIO catheter is very useful when the selection of a guiding catheter is complicated, such as in the case of severe vessel tortuosity or a bend of the ascending aorta.

scholarly journals Iatrogenic Dissection of The Right Coronary Artery and The Ascending Aorta Secondary to Percutaneous Coronary Intervention: A Case Report

2020 ◽  
Vol 23 (3) ◽  
pp. E366-E369
Author(s):  
Changjiang Yu ◽  
Fan He ◽  
Huaidong Chen ◽  
Jianmao Hong ◽  
Ximing Qian
Keyword(s):  
Percutaneous Coronary Intervention ◽  
Coronary Artery ◽  
Right Coronary Artery ◽  
Coronary Intervention ◽  
Ascending Aorta ◽  
Artery Dissection ◽  
Coronary Artery Dissection ◽  
Percutaneous Coronary ◽  
Aorta Replacement ◽  
The Right

Iatrogenic dissections of coronary artery and aorta is a rare and potentially fatal event, often following percutaneous coronary intervention (PCI). The prognosis of patients often depends on early accurate diagnosis and timely and effective treatment. There are no definite guidelines for the treatment of acute coronary artery dissection caused by PCI. Here, we report a 50-year-old patient with iatrogenic dissection of the right coronary artery and type A aortic dissection who underwent PCI for chest pain. We performed emergency surgery of right coronary artery ostium repair, aortic valvoplasty, ascending aorta replacement, and aortic arch descending stent implantation for the patient. The operation went smoothly, and the patient successfully was discharged two weeks after the operation.

scholarly journals Percutaneous coronary intervention in a 4-month-old infant for stenosis of both coronary arteries after arterial switch operation for transposition of the great arteries

2021 ◽  
pp. 1-3
Author(s):  
Hanna Kim ◽  
Jinyoung Song ◽  
I-Seok Kang
Keyword(s):  
Percutaneous Coronary Intervention ◽  
Coronary Artery ◽  
Coronary Stenosis ◽  
Left Coronary Artery ◽  
Arterial Switch Operation ◽  
Coronary Intervention ◽  
Arterial Switch ◽  
Switch Operation ◽  
Percutaneous Coronary ◽  
The Right

Abstract We present a case of percutaneous coronary intervention in a 4-month-old infant with both severe coronary stenosis and acute heart failure after arterial switch operation for transposition of the great arteries. Under extracorporeal membrane oxygenation, balloon angioplasty of the left coronary artery with a 2.0 × 15-mm balloon and stent implantation on the right coronary artery with a 2.25 × 26-mm stent were performed successfully. Echocardiography after the intervention showed recovered cardiac function and no complications.

scholarly journals Multivessel percutaneous coronary intervention with bifurcation stenting in a quadfurcated single coronary artery from the right aortic sinus: a case report

2019 ◽  
Author(s):  
Mohammed Al Jarallah ◽  
Rajesh Rajan ◽  
Vladimir Kotevski ◽  
Raja Dashti ◽  
Wagdy Moustafa
Keyword(s):  
Percutaneous Coronary Intervention ◽  
Coronary Artery ◽  
Coronary Intervention ◽  
Single Coronary Artery ◽  
Inferior Wall ◽  
Aortic Sinus ◽  
Coronary Syndrome ◽  
Multiple Lesions ◽  
Percutaneous Coronary ◽  
The Right

Abstract Background Quadfurcation of single coronary artery (SCA) from the right is an extremely rare anomaly and acute coronary syndrome in such patients is catastrophic. Case summary We report a 56-year-old Bangladeshi male who presented with an acute inferior wall ST-elevation myocardial infarction. He was taken to the Cath lab for primary percutaneous coronary intervention which showed the presence of SCA arising from the right aortic sinus with multiple lesions including a bifurcation lesion. Percutaneous coronary intervention was done successfully in two sessions. Discussion Tackling multiple lesions in a case of SCA with quadfurcation was challenging especially in the setting of SCA and bifurcation lesions. This is first reported case of this kind.

scholarly journals GuideLiner Catheter Use for Percutaneous Intervention Involving Anomalous Origin of a Single Coronary Trunk Arising from the Ascending Aorta

2016 ◽  
Vol 2016 ◽  
pp. 1-5 ◽  
Author(s):  
Mitsunari Matsumoto ◽  
Yusuke Tamanaha ◽  
Yoshimasa Tsurumaki ◽  
Tomohiro Nakamura
Keyword(s):  
Percutaneous Coronary Intervention ◽  
Coronary Artery ◽  
Coronary Intervention ◽  
Percutaneous Intervention ◽  
Ascending Aorta ◽  
Rapid Exchange ◽  
Guide Catheter ◽  
Percutaneous Coronary ◽  
Complex Lesions ◽  
Selection Of

Cases in which an anomalous single coronary trunk arises from the ascending aorta are extremely rare. In percutaneous coronary intervention for the lesion of a coronary artery anomaly, several problems may occur, including selection of a guide catheter, insufficient backup force, and difficulties of stent delivery. The GuideLiner catheter, which is a coaxial guide extension having the advantage of rapid exchange, facilitates coronary intervention for complex lesions. We report a case of angina having a lesion in the left anterior descending artery of a single coronary trunk arising from the ascending aorta. We successfully performed revascularization by using the GuideLiner catheter.

scholarly journals Iatrogenic aortic dissection during percutaneous coronary intervention: A case report and review of the literature

2017 ◽  
Vol 46 (1) ◽  
pp. 526-532 ◽  
Author(s):  
Jia-Chen Li ◽  
Xin-Liang Guan ◽  
Ming Gong ◽  
Hong-Jia Zhang
Keyword(s):  
Percutaneous Coronary Intervention ◽  
Coronary Artery ◽  
Aortic Dissection ◽  
Right Coronary Artery ◽  
Artery Bypass ◽  
Coronary Intervention ◽  
Ascending Aorta ◽  
Iatrogenic Aortic Dissection ◽  
Percutaneous Coronary ◽  
The Right

A 64-year-old female complaining of unrelieved chest pain for 2 days was admitted to the Emergency Room of the Beijing Anzhen Hospital, Beijing, China. After definitive diagnosis, a percutaneous coronary intervention was implemented, but immediately after embedding the stent in the distal area of the right coronary artery, an acute coronary and aortic dissection was found. Cardiologists immediately gave the patient conservative management. At the same time, another smaller stent was immediately embedded in the proximal area of the right coronary artery and plunged into the ascending aorta by 2 mm, with the intention of covering the tear of the dissection. Repeated coronary angiography showed that a 40% stricture of the distal right coronary artery remained and less contrast agent had been extravasated. The patient was then transferred to the Department of Cardiac Surgery and received emergency surgery consisting of right coronary artery bypass grafting and ascending aorta replacement. The patient remained in the intensive care unit for 18 days after the surgery. The patient recovery was acceptable and she was discharged with a small amount of bilateral hydrothorax, moderate malnutrition oedema and iron deficiency anaemia.

scholarly journals Percutaneous Coronary Intervention in Single Coronary Artery from Right Sinus: Radial Route is Right

2015 ◽  
Vol 5 ◽  
pp. 65 ◽  
Author(s):  
Rakesh Mahla ◽  
Himanshu Mahla ◽  
Dinesh Choudhary ◽  
Pintu Nahata
Keyword(s):  
Percutaneous Coronary Intervention ◽  
Coronary Artery ◽  
Rare Case ◽  
Coronary Intervention ◽  
Single Coronary Artery ◽  
Inferior Wall ◽  
Coronary Syndrome ◽  
Atherosclerotic Lesions ◽  
Percutaneous Coronary ◽  
The Right

We present percutaneous coronary intervention (PCI) using radial approach in a rare case of single coronary artery originating from the right sinus. Although these anomalies and stenosis of anomalous vessels have been described previously, treatment of atherosclerotic lesions by PCI has rarely been reported. There is a definite procedural risk during PCI in patients with a single ostium because dissection with the guiding catheter would result in a catastrophic event. Additionally, technical difficulties may occur due to the ostial configuration and course of the branch to be stented. The patient suffered an acute coronary syndrome-inferior wall STEMI, and was thrombolysed elsewhere within a window period of 4 h. He had post myocardial infarction (MI) angina and was referred to our center after 3 days of thrombolysis. We present this technically challenging and rare case in which PCI of right coronary artery was performed through the radial route.

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