Eur J Cardiothorac Surg 2002;21:85
© 2002 Elsevier Science NL
Images in cardio-thoracic surgery |
Right coronary and aortic dissection
Donald Oxorna,b*,
Edward Boyle, Jrc,
Gabriel Aldeac
a Department of Anesthesiology, University of Washington, 1959 NE Pacific Street, Seattle, WA 98195-6540, USA
b Department of Medicine, University of Washington, 1959 NE Pacific Street, Seattle, WA 98195-6540, USA
c Division of Cardiothoracic Surgery, University of Washington, 1959 NE Pacific Street, Seattle, WA 98195-6540, USA
Received 27 March 2001;
received in revised form 30 May 2001;
accepted 24 September 2001.
* Corresponding author. Tel.: +1-206-598-4260; fax: +1-206-598-4544
e-mail: oxorn{at}u.washington.edu
During coronary catheterization prior to elective aortic valve replacement, the right coronary artery (RCA) was dissected (Fig. 1). Transesophageal echocardiography (TEE) showed a limited aortic dissection originating at the right coronary orifice (Fig. 2). Right coronary stenting followed by a Bentall procedure and aorto-RCA venous grafting were performed. The false lumen was easily identified (Fig. 3).
