[Extensive coronary dissection after percutaneous transluminal angioplasty. Apropos of a case].

Abstract

The authors report a rare case of very extensive dissection of the right coronary artery immediately after angioplasty; the lesion was totally asymptomatic. Coronary bypass was performed 4 months later without complications and with a satisfactory result at a 15-month follow-up. Coronary dissection during angioplasty is usually located at the site of dilatation: its incidence varies from 6 to 13 p. 100 depending on the series reported. Facilitating factors are analysed, and the management of this complication is discussed: repeat angioplasty and/or emergency or elective coronary bypass, depending on the presence or absence of coronary thrombosis and symptoms, on the importance of the territory threatened and on the quality of collateral circulation.

• Authors: F Pouillart, S Godard, M Pomper, T Royer, R Lainee
• Journal: Archives des maladies du coeur et des vaisseaux (Arch Mal Coeur Vaiss) Vol. 82 Issue 9 Pg. 1635-8 (Sep 1989) ISSN: 0003-9683 [Print] France
• Vernacular Title: Dissection coronaire étendue après angioplastie transluminale percutanée. A propos d'un cas.
• PMID: 2530955 (Publication Type: Case Reports, English Abstract, Journal Article, Review)

Topics

• Adult
• Angioplasty, Balloon (adverse effects)
• Coronary Angiography
• Coronary Vessels (injuries)
• Humans
• Male
• Risk Factors