Author/Authors :
Kaya, Adnan Dr. Siyami Ersek Cardiovascular and Thoracic Surgery Center - Department of Cardiology, Turkey , Tatlısu, Mustafa Adem Dr. Siyami Ersek Cardiovascular and Thoracic Surgery Center - Department of Cardiology, Turkey , Öz, Dilaver Dr. Siyami Ersek Cardiovascular and Thoracic Surgery Center - Department of Cardiology, Turkey , Eren, Mehmet Dr. Siyami Ersek Cardiovascular and Thoracic Surgery Center - Department of Cardiology, Turkey
Title Of Article :
Accordion effect in right coronary artery mimicking dissection
Abstract :
Accordion or concertina effect is defined as a pseudolesion of tortuous arteries which confusedwith false dissection, spasm, thrombus and embolus appearence and that gives great concerns tothe operator occurs due to straightening and shortening of the vessels with stiff guide wires duringthe intervention. We present a case of accordion effect in proximal segment of right coronaryartery in 51-year-old patient with ST-segment elevation myocardial infarction. Coronary arterydissection during percutaneous transluminal coronary angioplasty is commonly seen in clinicalpractice. This case is a brief report on concertina effect. We must keep in mind concertina effectbefore proceeding with a coronary intervention as an interventional cardiologist.
NaturalLanguageKeyword :
ST , segment elevation myocardial infarction , right coronary artery , accordion effect , pseudocomplication
JournalTitle :
Cumhuriyet Medical Journal