Severe right ventricular infarction due to iatrogenic aortocoronary dissection successfully treated by surgical repair and extracorporeal membrane oxygenation

Shunya Ono; Shuhei Kawamoto; Toshiya Fukushima; Motoharu Shimozawa; Retsu Tateishi; Fumiya Haba; Yoshinori Nakahara; Takeyuki Kanemura

doi:10.1093/jscr/rjad711

Severe right ventricular infarction due to iatrogenic aortocoronary dissection successfully treated by surgical repair and extracorporeal membrane oxygenation

J Surg Case Rep. 2024 Jan 3;2024(1):rjad711. doi: 10.1093/jscr/rjad711. eCollection 2024 Jan.

Authors

Shunya Ono¹, Shuhei Kawamoto¹, Toshiya Fukushima¹, Motoharu Shimozawa¹, Retsu Tateishi¹, Fumiya Haba¹, Yoshinori Nakahara¹, Takeyuki Kanemura¹

Affiliation

¹ Department of Cardiovascular Surgery, IMS Katsushika Heart Center, 3-30-1 Horikiri, Katsushika, Tokyo 124-0006, Japan.

Abstract

Iatrogenic aortocoronary dissection (IACD) is a rare but potentially fatal complication of percutaneous coronary intervention or coronary angiography (CAG). In particular, if the condition of the patient is complicated by cardiogenic shock and right ventricular (RV) dysfunction, the mortality rate is high. Herein, we report the case of an 85-year-old woman with IACD who underwent elective CAG of the right coronary artery complicated with cardiogenic shock due to RV infarction. After prompt surgical repair and postoperative extracorporeal membrane oxygenation, the postoperative course was uneventful and the patient was discharged to a rehabilitation facility.

Keywords: extracorporeal membrane oxygenation; iatrogenic aortocoronary dissection; right ventricular infarction.

Publication types

Case Reports