JACC. Case reports · 2025
Right Ventricular Failure Secondary to Right Coronary Artery Dissection Complicated by Impella Malfunction.
Клинический случайСтатьяНазвание и аннотация: Перевод в очереди
Обработка статьи · этапы, ошибки и управление
Загрузка состояния…
Ошибки и ограничения
История · было → стало
Состояние обновляется каждые 5 секунд, пока блок открыт. Процент показывается только там, где известен объём работы. Пауза останавливает продолжение этапа; текущий запрос к источнику может завершиться.
Wieschhaus Keaton, Vadlamudi Navya, Sajja Keerthi, Liu Ellen
Аннотация
BACKGROUND: Iatrogenic coronary artery dissection is a rare but potentially catastrophic complication of coronary angiography. Coronary artery dissection can lead to cardiogenic shock and cardiac arrest.
CASE SUMMARY: A 54-year-old man presented with a non-ST-segment elevation myocardial infarction and was found to have severe stenosis of the obtuse marginal artery and right coronary artery. A spiral coronary artery dissection occurred during right coronary artery intervention, and the patient experienced cardiac arrest and right ventricular failure, requiring inotropic and mechanical circulatory support.
DISCUSSION: The patient had a tortuous right coronary artery and a 6-F guiding catheter was used, both of which increased the risk of dissection. Acute right ventricular failure was treated with inotropic and mechanical circulatory support despite the patient having a faulty Impella sensor.
CONCLUSION: Iatrogenic coronary artery dissection is a rare complication that can be treated with stenting, and subsequent cardiogenic shock can be managed with inotropic and mechanical circulatory support.
CASE SUMMARY: A 54-year-old man presented with a non-ST-segment elevation myocardial infarction and was found to have severe stenosis of the obtuse marginal artery and right coronary artery. A spiral coronary artery dissection occurred during right coronary artery intervention, and the patient experienced cardiac arrest and right ventricular failure, requiring inotropic and mechanical circulatory support.
DISCUSSION: The patient had a tortuous right coronary artery and a 6-F guiding catheter was used, both of which increased the risk of dissection. Acute right ventricular failure was treated with inotropic and mechanical circulatory support despite the patient having a faulty Impella sensor.
CONCLUSION: Iatrogenic coronary artery dissection is a rare complication that can be treated with stenting, and subsequent cardiogenic shock can be managed with inotropic and mechanical circulatory support.