ArticleJACC. Case reports2025
Right Ventricular Failure Secondary to Right Coronary Artery Dissection Complicated by Impella Malfunction.
Article in JACC. Case reports, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
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4 authors.
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Abstract
backgroundIatrogenic coronary artery dissection is a rare but potentially catastrophic complication of coronary angiography. Coronary artery dissection can lead to cardiogenic shock and cardiac arrest. CASE SUMMARY: A 54-year-old man presented with a non-ST-segment elevation myocardial infarction and was found to have severe stenosis of the obtuse marginal artery and right coronary artery. A spiral coronary artery dissection occurred during right coronary artery intervention, and the patient experienced cardiac arrest and right ventricular failure, requiring inotropic and mechanical circulatory support. DISCUSSION: The patient had a tortuous right coronary artery and a 6-F guiding catheter was used, both of which increased the risk of dissection. Acute right ventricular failure was treated with inotropic and mechanical circulatory support despite the patient having a faulty Impella sensor.
conclusionIatrogenic coronary artery dissection is a rare complication that can be treated with stenting, and subsequent cardiogenic shock can be managed with inotropic and mechanical circulatory support.
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