Coronary Dissection and Right Heart Failure Salvaged by PCI With Percutaneous Intraluminal Microaxial RV-Assist Support

JACC Case Rep. 2021 Oct 20;3(14):1612-1616. doi: 10.1016/j.jaccas.2021.06.044.

Abstract

Right heart failure is a dreaded sequelae of proximal right coronary artery occlusion that can complicate an angiogram or percutaneous coronary intervention. This case illustrates the use of a percutaneous intraluminal microaxial right ventricular assist device for high-risk percutaneous coronary intervention of an ostial right coronary artery dissection in refractory right heart failure. (Level of Difficulty: Advanced.).

Keywords: HR-PCI, high risk-percutaneous coronary intervention; IABP, intra-aortic balloon pump; MCS, mechanical circulatory support; MI, myocardial infarction; PCI, percutaneous coronary intervention; RCA, right coronary artery; RHF, right heart failure; RV, right ventricular; acute coronary syndrome; acute heart failure; cardiac assist devices; myocardial revascularization; percutaneous coronary intervention; right ventricle; right-sided catheterization.

Publication types

  • Case Reports