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EMERGENCY VALVE PRESERVING ASCENDING AORTA REPLACEMENT FOLLOWING IATROGENIC RIGHT CORONARY ARTERY DISSECTION: A LIFE-SAVING PROCEDURE
  • +4
  • Vidur Bansal,
  • Anand Mishra,
  • RUPESH KUMAR,
  • Bhupesh Kumar,
  • Parag Barwad,
  • Nirupam Chakraborty,
  • RUCHIT PATEL
Vidur Bansal
PGIMER
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Anand Mishra
Post Graduate Institute of Medical Education and Research
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RUPESH KUMAR
Post Graduate Institute of Medical Education and Research
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Bhupesh Kumar
Post Graduate Institute of Medical Education and Research
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Parag Barwad
Post Graduate Institute of Medical Education and Research
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Nirupam Chakraborty
Post Graduate Institute of Medical Education and Research
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RUCHIT PATEL
Post Graduate Institute of Medical Education and Research
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Abstract

Iatrogenic aortocoronary dissection is a rare but potentially fatal complication of coronary catheterizations. Although the incidence is comparatively low, dissection often leads to procedure failure with increased risk of myocardial infarction and death. Iatrogenic aortocoronary dissection is principally caused by disruption of intima at the ostia of the right or left coronary artery during interventional procedures and appears as luminal filling defects, the persistence of contrast or intimal tear outside the coronary lumen. Dissection could propagate in the anterograde direction causing subtotal or total occlusion of the coronary lumen or extend in the retrograde direction into the sinus of Valsalva, ascending aorta, aortic arch or descending aorta resulting in hemodynamic instability. We present a case of Right Coronary Artery dissection leading to Type-A aortic dissection suffered during diagnostic coronary catheterization. This required emergency supracoronary replacement of the ascending aorta with an aortic interposition tube graft and venous grafts to coronary arteries

Peer review status:Published

30 Apr 2020Submitted to Journal of Cardiac Surgery
04 May 2020Submission Checks Completed
04 May 2020Assigned to Editor
04 May 2020Reviewer(s) Assigned
11 May 2020Review(s) Completed, Editorial Evaluation Pending
11 May 2020Editorial Decision: Revise Major
28 May 20201st Revision Received
30 May 2020Assigned to Editor
30 May 2020Submission Checks Completed
30 May 2020Reviewer(s) Assigned
31 May 2020Review(s) Completed, Editorial Evaluation Pending
31 May 2020Editorial Decision: Revise Minor
02 Jun 20202nd Revision Received
03 Jun 2020Submission Checks Completed
03 Jun 2020Assigned to Editor
03 Jun 2020Review(s) Completed, Editorial Evaluation Pending
03 Jun 2020Reviewer(s) Assigned
03 Jun 2020Editorial Decision: Accept
Aug 2020Published in Journal of Cardiac Surgery volume 35 issue 8 on pages 2059-2063. 10.1111/jocs.14772