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European Heart Journal 1994 15(5):710-712;
Copyright © 1994 by the European Society of Cardiology.
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© 1994 The European Society of Cardiology

Acute coronary closure complicating intravascular ultrasound examination

F. ALFONSO, C. MAYCAYA, J. GOICOLEA, R. HERNANDEZ, J. SEGOVIA, J. ZAMORANO and P. ZARCO

Cardiopulmonary Department, Hospital Universitario ‘San Carlos’ Madrid, Spain

Received 28 September 1993; revised 28 December 1993; .

Correspondence: Fernando Alfonso, MD, Departamento de Cardiopulmonar. Hospital Universitario ‘San Carlos’. Ciudad Universitaria, Plaza de Cristo Rey, Madrid 28040, Spain

Abstract

A patient with an excellent angiographic result after directional atherectomy suffered an acute coronary closure during an intravascular ultrasound study performed after the intervention, Intravascular ultrasound revealed a large medial dissection which could be successfully managed only with intracoronary stenting. The pathogenesis and implications of this rare major complication are discussed.

Key Words: Intravascular ultrasound • coronary dissection


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