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[Coronary dissection following coronary radiography]
Revista Espanola De Cardiologia
|August 1, 1989
Insights
Coronary artery dissection during radiography is rare but serious, necessitating emergency bypass surgery. All four patients recovered successfully after coronary artery bypass grafting using saphenous vein grafts.
Area of Science:
- Cardiovascular Medicine
- Interventional Cardiology
- Radiology
Background:
- Coronary radiography is a diagnostic imaging technique used to visualize the coronary arteries.
- Dissection of coronary arteries is a rare but potentially life-threatening complication.
- Prompt diagnosis and intervention are crucial for favorable patient outcomes.
Observation:
- Four cases of spontaneous coronary artery dissection (SCAD) occurred during coronary radiography.
- Two cases involved the right coronary artery, and two involved the left coronary artery.
- All patients required emergency surgical intervention.
Findings:
- Coronary artery bypass grafting (CABG) using saphenous vein grafts was performed in all four patients.
- One patient experienced myocardial infarction post-operatively.
- All patients demonstrated successful recovery and long-term evolution.
Implications:
- Coronary radiography, while diagnostic, carries a risk of iatrogenic coronary artery dissection.
- Emergency surgical revascularization with saphenous vein grafts is an effective treatment for this complication.
- Increased vigilance and preparedness for managing coronary artery dissection during radiography are warranted.
Abstract:
We present 4 cases of dissection of the coronary arteries during coronary radiography, which required emergency surgery. The right coronary was dissected in 2 cases and the left coronary in the remaining cases. Coronary artery bypass was carried out using saphenous vein. Although one patient suffered myocardial infarction, all patients had successful recovery and evolution.