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Related Concept Videos

Aortic Regurgitation II: Clinical Features and Diagnostic Tests01:22

Aortic Regurgitation II: Clinical Features and Diagnostic Tests

Aortic valve regurgitation (AR) occurs when the aortic valve fails to close properly, allowing blood to flow backward from the aorta into the left ventricle. This backflow can result in two distinct clinical presentations: acute and chronic AR, each characterized by its own set of symptoms and physical findings.Acute Aortic RegurgitationAcute AR presents with a sudden onset of severe symptoms. Patients typically experience profound dyspnea (shortness of breath), chest pain, and signs of left...

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Related Experiment Video

Updated: Jun 24, 2026

Direct Re-implantation of Left Coronary Artery into the Aorta in Adults with Anomalous Origin of Left Coronary Artery from the Pulmonary Artery ALCAPA
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A missing coronary guidewire mimicking aortic dissection-a case report.

Ziad Arow1,2, Avigdor Bar Sef1,2, Abid Assali1,2

  • 1Cardiology Department, Meir Medical Center, Tchernichovsky St 59, Kfar Saba 4418001, Israel.

European Heart Journal. Case Reports
|April 1, 2024
PubMed
Summary

A rare complication, a retained coronary guidewire, was found two years after a percutaneous coronary intervention. Management of this rare finding requires a case-specific approach based on patient presentation.

Keywords:
Aortic dissectionCardiac computed tomographyCase reportCoronary guidewireEchocardiography

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Area of Science:

  • Cardiology
  • Interventional Cardiology
  • Medical Imaging

Background:

  • Retained coronary guidewires are an extremely rare complication following coronary angiography.
  • This case highlights a retained coronary guidewire discovered two years after an initial percutaneous coronary intervention.

Observation:

  • An 80-year-old male with ischemic heart disease and aortic stenosis was incidentally found to have a linear echogenic structure in the ascending aorta.
  • Advanced imaging, including trans-esophageal echocardiography and ECG-gated cardiac CT, confirmed a retained coronary guidewire originating from the left main coronary artery ostium.

Findings:

  • The retained coronary guidewire was identified incidentally during routine echocardiography follow-up.
  • Multidisciplinary team discussion concluded that intervention risks outweighed benefits for this asymptomatic patient.

Implications:

  • Awareness of retained coronary guidewires as a rare complication is crucial for interventional cardiologists.
  • Management strategies for retained coronary guidewires must be individualized based on the patient's clinical status and anatomical findings.