Abstract
Percutaneous coronary intervention (PCI) was performed for chronic total occlusion of the proximal right coronary artery in a 70-year-old male with unstable angina. The forceful manipulation of the guide catheter led to an aortocoronary dissection involving the right Valsalva sinus and the ascending aorta. Intracoronary ultrasound (ICUS) showed the important characteristics of the dissection, enabling successful coronary stenting under ICUS guidance.
MeSH terms
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Aged
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Angina, Unstable / therapy*
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Angioplasty, Balloon, Coronary / adverse effects*
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Aorta / diagnostic imaging
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Aorta / injuries*
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Aortic Aneurysm / diagnostic imaging
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Aortic Aneurysm / etiology*
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Aortic Dissection / diagnostic imaging
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Aortic Dissection / etiology*
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Cardiac Catheterization / adverse effects*
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Catheterization / adverse effects
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Coronary Disease / diagnostic imaging
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Coronary Disease / etiology*
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Coronary Vessels / diagnostic imaging
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Coronary Vessels / injuries*
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Humans
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Male
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Stents*
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Ultrasonography, Interventional*