Right Coronary Artery

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William J Nicholson - One of the best experts on this subject based on the ideXlab platform.

Haichang Wang - One of the best experts on this subject based on the ideXlab platform.

Manel Sabate - One of the best experts on this subject based on the ideXlab platform.

  • Right Coronary Artery dissection following blunt chest trauma
    European heart journal. Acute cardiovascular care, 2012
    Co-Authors: Ander Regueiro, Luis Alvarezcontreras, Victoria Martinyuste, Gizem Kasa, Manel Sabate
    Abstract:

    Chest trauma is a major health problem with a high mortality. Myocardial infarction secondary to Coronary dissection following blunt chest trauma is a rare entity. We describe the case of an inferior MI following blunt chest trauma. A 61-year-old male without any relevant medical history was transported to a hospital after a low-velocity motorcycle accident. The patient was asymptomatic before the accident. The patient developed severe chest pain and an ECG revealed inferior ST segment elevation. After ruling out aortic dissection with angio-CT, a Coronary angiograph depicted a proximal occlusion of the Right Coronary Artery. After thrombectomy, a typical image of Coronary Artery dissection was observed; the image persisted after several runs of thrombectomy and for that reason a bare metal stent was implanted with a good final angiographic result. Five days after admission the patient was discharged home. Cardiac contusion is not uncommon; however acute myocardial infarction is a rare complication of blunt chest trauma. Thorough evaluation with clinical suspicion can lead to optimal medical care.

Rajiv Dhawan - One of the best experts on this subject based on the ideXlab platform.

David Antoniucci - One of the best experts on this subject based on the ideXlab platform.

  • the impact of Right Coronary Artery chronic total occlusion on clinical outcome of patients undergoing percutaneous Coronary intervention for unprotected left main disease
    Journal of the American College of Cardiology, 2011
    Co-Authors: Angela Migliorini, Renato Valenti, Guido Parodi, Piergiovanni Buonamici, Giampaolo Cerisano, Nazario Carrabba, Ruben Vergara, David Antoniucci
    Abstract:

    Objectives The aim of the present study was to investigate whether Right Coronary Artery chronic total occlusion (CTO) carries prognostic implications in patients undergoing drug-eluting stent–supported percutaneous Coronary intervention (PCI) for unprotected left main disease (ULMD). Background No data exist on the prognostic implication of CTO in patients undergoing PCI for ULMD. Methods Prospective registry of consecutive patients undergoing PCI for ULMD. Patients with ST-segment elevation myocardial infarction were excluded. Primary endpoints were 6-month and long-term cardiac mortality. Results From January 2004 to December 2009, 330 patients underwent PCI for ULMD. Of the 330 patients, 78 (24%) had CTO of the Right Coronary Artery, 22 (7%) had CTO of the left anterior descending Artery, and 16 (5%) had CTO of the left circumflex Artery. Patients with Right Coronary Artery CTO had a higher risk profile compared with patients without Right Coronary Artery CTO. The 6-month mortality rate was 12.8% in patients with Right Coronary Artery CTO, and 3.6% in patients without Right Coronary Artery CTO (p Conclusions Right Coronary Artery CTO occurs frequently and is a significant predictor of mortality in patients with ULMD undergoing PCI.