Article ID | Journal | Published Year | Pages | File Type |
---|---|---|---|---|
2963914 | Journal of Cardiology Cases | 2014 | 4 Pages |
Abstract
A 54-year-old man with suspected vasospastic angina returned to the hospital 2 weeks later with symptoms of acute myocardial infarction. Emergent coronary angiography (CAG) showed an occlusive lesion just beyond the bend of the proximal right coronary artery segment. The selected 7F AL1.0 guiding catheter may have injured the vessel surface and the guide wire might have entered the pseudo-lumen. Balloon dilatation of the pseudo-lumen resulted in a spiral dissection. We were able to provide bail out with therapy under guidance of combined CAG and intravascular ultrasound, which provided structural 3D images of coronary artery anatomy.
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Authors
Teruo Okabe, Hiroki Kitakata, Yasuo Kurita, Narutaka Ohashi, Yukiko Karube, Satoshi Ogawa,