Surgical Treatment of a Catheter-Induced Iatrogenic Dissection of the Right Coronary Artery following Cardiac Catheterization

Panagiotis Artemiou; Stefan Lukacin; Peter Kirsch; Jan Ignac; Boris Bily; Alzbeta Tohatyova; Miroslava Bilecova-Rabajdova; Frantisek Sabol

Surgical Treatment of a Catheter-Induced Iatrogenic Dissection of the Right Coronary Artery following Cardiac Catheterization

J Tehran Heart Cent. 2016 Jan 13;11(1):30-3.

Authors

Panagiotis Artemiou¹, Stefan Lukacin¹, Peter Kirsch², Jan Ignac², Boris Bily¹, Alzbeta Tohatyova³, Miroslava Bilecova-Rabajdova⁴, Frantisek Sabol¹

Affiliations

¹ University of P. J. Safarik, Medical Faculty, Department of Cardiovascular Surgery, Kosice, Slovakia.
² University of P. J. Safarik, Medical Faculty, Department of Cardiology, Kosice, Slovakia.
³ University of P. J. Safarik, Medical Faculty, Children's Hospital, Kosice, Slovakia.
⁴ University of P. J. Safarik, Medical Faculty, Department of Clinical Biochemistry, Kosice, Slovakia.

PMID: 27403187
PMCID: PMC4939253

Abstract

Iatrogenic dissections of the ascending aorta are an uncommon and severe complication during cardiac catheterization. A 68-year-old female patient underwent diagnostic cardiac catheterization due to non-ST-elevation myocardial infarction. During the procedure, a catheter-induced 360(°) Class I dissection of the right coronary artery occurred. The patient developed severe bradycardia, which was treated with a temporary pacemaker. She underwent an emergency operation with ligation and a saphenous vein graft in the right coronary artery. The postoperative course was uneventful; and on postoperative day 6, she was discharged home.

Keywords: Cardiac catheterization; Dissection; Iatrogenic disease.

Publication types

Case Reports