Surgical Treatment of a Catheter-Induced Iatrogenic Dissection of the Right Coronary Artery following Cardiac Catheterization

Panagiotis Artemiou; Stefan Lukacin; Peter Kirsch; Jan Ignac; Boris Bily; Alzbeta Tohatyova; Miroslava Bilecova-Rabajdova; Frantisek Sabol

Journal of Tehran University Heart Center (Jul 2016)

Surgical Treatment of a Catheter-Induced Iatrogenic Dissection of the Right Coronary Artery following Cardiac Catheterization

Panagiotis Artemiou,
Stefan Lukacin,
Peter Kirsch,
Jan Ignac,
Boris Bily,
Alzbeta Tohatyova,
Miroslava Bilecova-Rabajdova,
Frantisek Sabol

Affiliations

Panagiotis Artemiou: University of P. J. Safarik, Medical Faculty, Department of Cardiovascular Surgery, Kosice, Slovakia.
Stefan Lukacin: University of P. J. Safarik, Medical Faculty, Department of Cardiovascular Surgery, Kosice, Slovakia.
Peter Kirsch: University of P. J. Safarik, Medical Faculty, Department of Cardiology, Kosice, Slovakia.
Jan Ignac: University of P. J. Safarik, Medical Faculty, Department of Cardiology, Kosice, Slovakia.
Boris Bily: University of P. J. Safarik, Medical Faculty, Department of Cardiovascular Surgery, Kosice, Slovakia.
Alzbeta Tohatyova: University of P. J. Safarik, Medical Faculty, Children’s Hospital, Kosice, Slovakia.
Miroslava Bilecova-Rabajdova: University of P. J. Safarik, Medical Faculty, Department of Clinical Biochemistry, Kosice, Slovakia.
Frantisek Sabol: University of P. J. Safarik, Medical Faculty, Department of Cardiovascular Surgery, Kosice, Slovakia.

Journal volume & issue: Vol. 11, no. 1

Abstract

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Iatrogenic dissections of the ascending aorta are an uncommon and severe complication during cardiac catheterization. A 68-year-old female patient underwent diagnostic cardiac catheterization due to non-ST-elevation myocardial infarction. During the procedure, a catheter-induced 360• Class I dissection of the right coronary artery occurred. The patient developed severe bradycardia, which was treated with a temporary pacemaker. She underwent an emergency operation with ligation and a saphenous vein graft in the right coronary artery. The postoperative course was uneventful; and on postoperative day 6, she was discharged home.

Cardiac catheterization • Dissection • Iatrogenic disease

Published in Journal of Tehran University Heart Center

ISSN: 1735-8620 (Print); 2008-2371 (Online)
Publisher: Tehran University of Medical Sciences
Country of publisher: Iran, Islamic Republic of
LCC subjects: Medicine: Internal medicine: Specialties of internal medicine: Diseases of the circulatory (Cardiovascular) system
Website: https://jthc.tums.ac.ir

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