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[Treatment of acute coronary dissection by angioplasty during diagnostic catheterization by the Sones' technique]
G A Maldonado1, R C Cavalcanti, J R Livera
1Instituto Dante Pazzanese de Cardiologia, São Paulo.
Arquivos Brasileiros De Cardiologia
|December 1, 1991
Insights
A 50-year-old male experienced proximal dissection of the left anterior descending coronary artery during Sones catheterization. Prompt balloon angioplasty resolved the acute vessel occlusion, leading to an excellent outcome.
Area of Science:
- Cardiovascular Medicine
- Interventional Cardiology
- Vascular Surgery
Background:
- Coronary arteriography is a diagnostic procedure to visualize coronary arteries.
- The Sones catheter technique can induce arterial complications.
- Proximal left anterior descending artery dissection is a serious complication.
Observation:
- A 50-year-old male presented with dissection of the proximal left anterior descending coronary artery.
- The dissection was induced by the Sones catheter during coronary arteriography.
- This dissection led to acute vessel occlusion.
Findings:
- The patient underwent immediate balloon angioplasty for the acute vessel occlusion.
- The balloon angioplasty procedure was technically successful.
- The patient achieved an excellent clinical outcome following the intervention.
Implications:
- Early recognition and prompt intervention are crucial for managing catheter-induced coronary artery dissection.
- Balloon angioplasty is an effective treatment for acute vessel occlusion secondary to dissection.
- This case highlights the importance of careful catheter manipulation and preparedness for managing procedural complications in interventional cardiology.
Abstract:
Male, 50 year-old, white, who underwent coronary arteriography and exhibited proximal dissection of the left anterior descending coronary artery induced by the Sones catheter with subsequent acute vessel occlusion. The patient was immediately treated by balloon angioplasty with excellent outcome.