Successful management of coronary complications during percutaneous intervention: A case report.

Autor:	Shaikh GA; Department of Cardiology, Dr Ruth KM Pfau Civil Hospital Karachi, Karachi, Sindh, Pakistan., Babar AB; Hamdard College of Medicine And Dentistry, Karachi, Sindh, Pakistan., Yaqoob S; Dr Ruth KM Pfau Civil Hospital Karachi, Karachi, Sindh, Pakistan., Rohail S; Karachi Medical and Dental College, Karachi, Sindh, Pakistan., Uddin N; Dow University of Health Sciences, Karachi, Pakistan., Khan MK; Dow University of Health Sciences, Karachi, Pakistan., Sam SJ; Dow University of Health Sciences, Karachi, Pakistan., Zafar NUH; Dow University of Health Sciences, Karachi, Pakistan., Shah HH; Dow University of Health Sciences, Karachi, Pakistan., Lashari MN; Department of Cardiology, Dr Ruth KM Pfau Civil Hospital Karachi, Karachi, Sindh, Pakistan.
Jazyk:	angličtina
Zdroj:	SAGE open medical case reports [SAGE Open Med Case Rep] 2024 May 07; Vol. 12, pp. 2050313X241252589. Date of Electronic Publication: 2024 May 07 (Print Publication: 2024).
DOI:	10.1177/2050313X241252589
Abstrakt:	This case report delineates the complex management of a 65-year-old female with established diabetes, hypertension, and ischemic heart disease, who presented with refractory angina despite comprehensive medical management. Coronary angiography identified significant pathology in the right coronary artery alongside a previously placed, functioning stent in the left anterior descending artery. The intervention was complicated by the occurrence of a type B coronary artery dissection and a type III coronary perforation during an attempt to extract a stent. Immediate remedial measures, including balloon inflation and the placement of drug-eluting stents, were undertaken. The patient underwent a transient episode of collapse, from which she was successfully resuscitated. The concluding angiographic assessment confirmed the effective dilation of the lesion with no remaining dissection or perforation. This case accentuates the infrequent yet critical complications that can arise during percutaneous coronary intervention. Competing Interests: The authors declared no potential conflicts of interest with respect to the research, authorship, and/or publication of this article. (© The Author(s) 2024.)
Databáze:	MEDLINE
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