Transcutaneus interventions in patients with unstable angina pectoris: coronary arteria dissection with extention on protected truncus and aortic sinus

DOI: https://doi.org/10.25512/DIR.2012.06.1.08

For quoting:
Ganjukov V.I., Shushpannikov P.A., Tarasov R.S., Bokhan N.S., Kartashyan E.S. "Transcutaneus interventions in patients with unstable angina pectoris: coronary arteria dissection with extention on protected truncus and aortic sinus". Journal Diagnostic & interventional radiology. 2012; 6(1); 57-62.

authors:

Ganjukov V.I.

Shushpannikov P.A.

Tarasov R.S.

Bokhan N.S.

Kartashyan E.S.

keywords:

dissection of left coronary artery

aorta dissection

LIMA-LAD anastomosis stenting

Abstract:

We had analyzed percutaneous coronary intervention (PCI) of non-standard complications - coronary artery dissection with extension on the eft main coronary artery (LMCA) and aorta. There was the coronary dissection of LMCA and aorta after left internal thoracic arteries and left anterior descending anastomosis (LIMA-LAD) balloon predilatation. Satisfactory angiographic result was achieved with blood flow TIMI III after stent implantation. In connection with the stable condition of the patient there was no endovascular or surgical treatment. The patient had stable hemodynamics in hospital period. The angiografic control was performed after 8 days. There was no coronary and aorta dissection and stent-thrombosis.

In conclusion in can be said that conservative tactics may be useful in a case of retrograde coronary and aorta dissection after LIMA-LAD stent mplantation.

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