Utilização de stent para tratamento de dissecção coronária iatrogênica

Copini, Ronaldo Tadeu; Alves, Cláudia Maria Rodrigues; Costa, Francisco de Assis; Souza, José Augusto Marcondes de; Herrmann, João Lourenço

doi:10.1590/s0066-782x1998000100011

Cited by 2 publications

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References 3 publications

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“…At times, this severe condition has been resolved in the hemodynamic room itself, using a stent implanted at the arterial dissection site. This procedure has become important in the extent that it can allow the coronary artery flow to be re-established, acting as a definite treatment or as a bridge to CABG surgical treatment [3].…”

Section: Discussionmentioning

confidence: 99%

Tratamento operatório da dissecção iatrogênica do tronco de coronária esquerda

Breda¹,

Breda²,

Pires³

2008

Rev Bras Cir Cardiovasc

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Coronary dissection has a significant morbidity and mortality. The ideal management of acute coronary occlusion is the prompt restoration of the vessel patency to limit the extent and duration of ischemia. In the setting of dissection during percutaneous procedure, the usual approach has been emergency aortocoronary bypass surgery. The authors present a case of a patient with left main dissection during percutaneous transluminal coronary angioplasty. This problem was successfully managed with emergent aortocoronary bypass surgery.Descriptors: Angioplasty transluminal percutaneous coronary/adverse effects. Coronary vessels/injuries. Iatronic disease. Catheterization. ResumoA dissecção coronária iatrogênica apresenta alta morbidade e mortalidade. Diante da oclusão aguda do fluxo coronariano, é fundamental a restauração imediata da perviabilidade do vaso para limitar a extensão e duração da isquemia. Nesta situação, pode estar indicada a revascularização cirúrgica do miocárdio de emergência. Os autores apresentam caso de um paciente com dissecção iatrogênica do tronco de coronária esquerda durante angioplastia transluminal percutânea, que foi solucionada pela realização de revascularização completa do miocárdio, com resultado satisfatório.Descritores: Angioplastia coronária transluminal percutânea, efeitos adversos. Vasos coronários/lesões. Doença iatrogênica. Cateterismo. Rev Bras Cir Cardiovasc 2008; 23(2): 268-271 Tratamento operatório da dissecção iatrogênica do tronco de coronária esquerda 269 BREDA, JR ET AL -Operative treatment after iatrogenic left main dissection

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Section: Discussionmentioning

confidence: 99%

Tratamento operatório da dissecção iatrogênica do tronco de coronária esquerda

Breda¹,

Breda²,

Pires³

2008

Rev Bras Cir Cardiovasc

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Catheter-induced dissection of the left main coronary artery, the nemesis of an invasive cardiologist

et al. 2002

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An elderly gentleman had a dissection of the left main coronary artery (LMCA) during coronary angiography. There were critical lesions in the left anterior descending (LAD) and left circumflex arteries. Both the LMCA and the LAD lesions were successfully stented in the same sitting. Thereafter the patient remained symptom free and the six-month follow-up angiogram revealed good angioplasty results in both lesions. We report this case for two reasons - first, acute dissection of the LMCA is a rare but devastating complication of selective coronary angiography and the situation becomes graver if the branch vessels have critical stenosis; that this could be managed percutaneously needs to be highlighted, and second, the case offers an opportunity to review literature pertinent to this awesome occurrence in the catheterization laboratory.

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Utilização de stent para tratamento de dissecção coronária iatrogênica

Cited by 2 publications

References 3 publications

Tratamento operatório da dissecção iatrogênica do tronco de coronária esquerda

Tratamento operatório da dissecção iatrogênica do tronco de coronária esquerda

Catheter-induced dissection of the left main coronary artery, the nemesis of an invasive cardiologist

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