Rotastenting in an anomalously arising right coronary artery after an ugly dissection

Indian Heart Journal

Ajit Desai¹  Ashwin B. Mehta²  Nihar Mehta³ 

[1] Consultant Cardiologist, Department of Cardiology, Jaslok Hospital and Research Centre, 15 Dr. G. D. Deshmukh Marg, Mumbai 400026, India;Interventional Cardiologist, Director of Cardiology, Jaslok Hospital and Research Centre, 15 Dr. G. D. Deshmukh Marg, Mumbai 400026, India;Senior Registrar, Department of Cardiology, Jaslok Hospital and Research Centre, 15 Dr. G. D. Deshmukh Marg, Mumbai 400026, India;

关键词: Rotablation;    Dissection;    Anomalous coronary artery;    Undilatable calcified lesion;   

DOI  :  10.1016/j.ihj.2013.06.011

来源: DOAJ

【 摘 要 】

Rotational atherectomy is contraindicated in dissected coronary arteries since it can lead to progression of the dissection or perforation. In our case, the right coronary artery (RCA) arose anomalously from the left coronary sinus. The lesion in the RCA was an undilatable calcified one. There was a dissection in the RCA due to high pressure balloon dilatation. Since the patient was hemodynamically unstable and there were no options besides rotablation, we proceeded with caution. Rotablation and stenting were successfully done. Our case report highlights the importance of the need for good guide catheter support even in the presence of anomalously arising arteries and the rotablation option for unyielding calcified coronary lesions, even in the setting of a dissection.

【 授权许可】

Unknown