Transverse coronary dissection resulting in abrupt vessel closure following directional coronary atherectomy: clinical, angiographic, and intracoronary ultrasound findings

Scott W. Shurmur, Ubeydullah Deligonul, Ralph W. Rayner, Thomas W. Sears, Thomas R. Porter

Research output: Contribution to journalArticle

3 Scopus citations

Abstract

A 60‐year‐old man underwent directional coronary atherectomy (DCA) of the mid portion of a large, anatomically dominant left circumflex coronary artery, resulting in propagating transverse dissection and subsequent complete distal occlusion. Intravascular ultrasound imaging (IVUS) of the dissected segment demonstrated the entry point of the dissection, and systolic compression of the true vessel lumen, prior to angiographic deterioration of distal coronary flow. © 1994 Wiley‐Liss,Inc..

Original languageEnglish (US)
Pages (from-to)174-177
Number of pages4
JournalCatheterization and Cardiovascular Diagnosis
Volume32
Issue number2
DOIs
StatePublished - Jun 1994

Keywords

  • acute occlusion
  • intravascular imaging
  • propagating dissection

ASJC Scopus subject areas

  • Cardiology and Cardiovascular Medicine

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