A Retrograde Approach to Coronary Ostial Stenosis after a Bentall Procedure in a Patient with Behçet's Disease.

Abstract:

:We describe a case of chronic total occlusion of the right coronary artery ostium 5 months after a repeated Bentall procedure in a patient with Behçet's disease. In this patient, an antegrade approach to delivering the guidewire during percutaneous coronary intervention was not successful. Coronary angiography revealed the existence of collateral blood supply from the left coronary artery. Using a retrograde approach, a guidewire was successfully advanced from the distal left circumflex artery through the collateral vessel and into the posterolateral branch of the right coronary artery. After the guidewire crossed over the occluded right coronary artery ostium and was snared into the ascending aorta, antegrade access for balloon and stent delivery succeeded.

journal_name

Korean Circ J

authors

Park TK,Yang JH,Yoo H,Ahn J,Jeon J,Song YB,Gwon HC

doi

10.4070/kcj.2013.43.4.277

subject

Has Abstract

pub_date

2013-04-01 00:00:00

pages

277-80

issue

4

eissn

1738-5520

issn

1738-5555

journal_volume

43

pub_type

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