An Unexpected Cause of Acute Coronary Syndrome: Iatrogenic Right Coronary Dissection as a Delayed Complication after Valve Replacement Surgery

Ana Redondo Palacios, José López Menéndez, Laura Varela Barca, Miren Martín García

Abstract


Highlights

Coronary artery dissection is an unfrequent complication, which in an important number of cases has a iatrogenic cause. Most of them occur after a percutaneous procedure, and usually the right coronary artery is the one affected.

We report the case of a iatrogenic right coronary dissection after valve replacement surgery. The cause was assumed to be the antegrade cannulation of the ostium for cardioplegic perfussion.

What we consider particularly interesting about this case is that it had a delayed clinical manifestation, 9 days after surgery, having a normal immediate post-operative course. The diagnosis was achieved by coronary angiography, and no interventional treatment was performed.


Keywords


coronary dissection, iatrogenic, ostium, cardioplegia

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DOI: https://doi.org/10.17987/icfj.v8i0.279

Copyright (c) 2016 Ana Redondo Palacios

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