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

Catheter Cardiovasc Interv. 2011 Nov 15;78(6):888-91. doi: 10.1002/ccd.23117. Epub 2011 Jun 6.

Abstract

Iatrogenic dissection of the sinus of Valsalva or of the ascending aorta is a rare but potentially fatal event, during the percuteneous coronary intervention (PCI). We reported a case of perforation of the sinus of Valsalva by guiding catheter during PCI via the right transradial approach (TRA) successfully managed and sealed without any sequelae. The choice of guiding catheter into the right TRA should be done carefully and its manipulation should be performed with caution in the coronary artery and in the sinus of Valsalva.

Publication types

  • Case Reports

MeSH terms

  • Aged, 80 and over
  • Angioplasty, Balloon, Coronary / adverse effects*
  • Angioplasty, Balloon, Coronary / instrumentation
  • Angioplasty, Balloon, Coronary / methods
  • Aortic Aneurysm / diagnosis
  • Aortic Aneurysm / etiology*
  • Aortic Aneurysm / therapy
  • Aortic Dissection / diagnosis
  • Aortic Dissection / etiology*
  • Aortic Dissection / therapy
  • Aortography
  • Catheters / adverse effects*
  • Coronary Angiography
  • Echocardiography, Transesophageal
  • Equipment Design
  • Heart Injuries / diagnosis
  • Heart Injuries / etiology*
  • Heart Injuries / therapy
  • Hematoma / etiology
  • Humans
  • Iatrogenic Disease*
  • Male
  • Pericardiocentesis
  • Radial Artery* / diagnostic imaging
  • Sinus of Valsalva / injuries
  • Tomography, X-Ray Computed
  • Treatment Outcome