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

Autor: Ghulam Abbas Shaikh, Abdul Bari Babar, Samina Yaqoob, Samia Rohail, Naseer Uddin, Muhammad Khuzzaim Khan, Stafford Jude Sam, Noor Ul Huda Zafar, Hussain Haider Shah, Muhammad Nawaz Lashari
Jazyk: angličtina
Rok vydání: 2024
Předmět:
Zdroj: SAGE Open Medical Case Reports, Vol 12 (2024)
Druh dokumentu: article
ISSN: 2050-313X
2050313X
DOI: 10.1177/2050313X241252589
Popis: 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.
Databáze: Directory of Open Access Journals