Simultaneous Right and Left Coronary Occlusion Caused by an Extensive Dissection to the Coronary Sinus of Valsalva During Percutaneous Intervention in Right Coronary Artery

Makoto Sekiguchi; Naoki Sagawa; Akito Miyajima; Shuichi Hasegawa; Masao Yamazaki; Masahiko Kurabayashi

doi:10.1536/ihj.50.663

Clinical Studies

Simultaneous Right and Left Coronary Occlusion Caused by an Extensive Dissection to the Coronary Sinus of Valsalva During Percutaneous Intervention in Right Coronary Artery

Makoto Sekiguchi, Naoki Sagawa, Akito Miyajima, Shuichi Hasegawa, Masao Yamazaki, Masahiko Kurabayashi

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Keywords: Aortocoronary dissection, Percutaneous coronary intervention, Coronary artery occlusion

JOURNAL FREE ACCESS

2009 Volume 50 Issue 5 Pages 663-667

DOI https://doi.org/10.1536/ihj.50.663

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Abstract

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.

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