A life-threatening finding during coronary angiography in a patient with NSTEMI
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A coronary angiography was performed on a 76-year-old male with NSTEMI. LAD showed a subocclusive lesion, so angioplasty was made. When carrying out angiography of the right coronary, a dissection of its ostium with rapid extension was observed.
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A life-threatening finding during coronary angiography in a patient with NSTEMI
Authors
MENDEZ SANCHEZ Heron1, EID LIDT Guering1- Instituto Nacional de Cardiología Ignacio Chávez, CDMX, MEXICO
4 comments
Aortic dissection
Hi
Next step? Immediate surgery?
Iatrogenic aortic dissection Dunning class 3. Stenting of the RCA to seal the entry site may solve the problem. However, surgery may be needed if there is further extension or aortic regurgitation.