The treatment of spontaneous coronary dissection extending to the Valsalva sinus during percutaneous coronary intervention with primary stenting

Abstract

Aortocoronary dissections are among the rare complications of percutaneous coronary interventions. Occasionally, coronary dissections can be the triggering factor for aortocoronary dissection. In this case, the dissection in the coronary artery may extend to the Valsalva sinus and ascending aorta progressively. In this article, we present and discuss a 54-year-old male who underwent percutaneous coronary intervention for acute inferior myocardial infarction. The aetiology for right coronary artery occlusion appeared to be spontaneous coronary dissection which extended to the Valsalva sinus. After treatment with primary stenting, the 6-month follow up results are presented here.