{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,24]],"date-time":"2026-09-24T19:49:11Z","timestamp":1790279351498,"version":"4.1.0"},"reference-count":12,"publisher":"Oxford University Press (OUP)","issue":"1","license":[{"start":{"date-parts":[[2024,1,17]],"date-time":"2024-01-17T00:00:00Z","timestamp":1705449600000},"content-version":"vor","delay-in-days":16,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2024,1,3]]},"abstract":"<jats:title>Abstract<\/jats:title>\n               <jats:p>Iatrogenic coronary artery dissection is a rare complication seen in 0.07% of coronary procedures. Presentations of this condition vary, ranging from signs of myocardial ischemia to rarer presentations of ventricular arrhythmias. We present a rare case of a 55-year-old patient with native aortic valve endocarditis who developed right coronary artery dissection (RCAD) in the immediate post-op period presenting with refractory ventricular fibrillation (VF). Emergency coronary angiogram revealed an extensive RCAD extending from the ostium to the mid-vessel as the cause of VF. A consensus between the cardiologists and the cardiac surgeons led to an emergency right coronary artery bypass graft (CABG) that resolved the VF. This case illustrates a rare presentation of iatrogenic RCAD and the successful management of the same. We highlight the importance of prompt detection via angiography in patients suspected of having coronary artery dissection and showcase the successful implementation of emergency CABG in a patient with unstable haemodynamics.<\/jats:p>","DOI":"10.1093\/jscr\/rjad717","type":"journal-article","created":{"date-parts":[[2024,1,18]],"date-time":"2024-01-18T17:20:31Z","timestamp":1705598431000},"source":"Crossref","is-referenced-by-count":3,"title":["Right coronary artery dissection after aortic valve replacement presenting with refractory ventricular fibrillation"],"prefix":"10.1093","volume":"2024","author":[{"given":"Abiah","family":"Jacob","sequence":"first","affiliation":[{"name":"Barts Heart Centre, St. Bartholomew\u2019s Hospital , West Smithfield, EC1A 7BE London , United Kingdom"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Natalia","family":"Hara","sequence":"additional","affiliation":[{"name":"Barts and the London School of Medicine and Dentistry, Queen Mary University of London , E1 2AD London , United Kingdom"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Giridhara","family":"Goli","sequence":"additional","affiliation":[{"name":"Barts Heart Centre, St. Bartholomew\u2019s Hospital , West Smithfield, EC1A 7BE London , United Kingdom"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kulvinder","family":"Lall","sequence":"additional","affiliation":[{"name":"Barts Heart Centre, St. Bartholomew\u2019s Hospital , West Smithfield, EC1A 7BE London , United Kingdom"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"286","published-online":{"date-parts":[[2024,1,16]]},"reference":[{"key":"2024011817195767100_ref1","doi-asserted-by":"crossref","first-page":"1789","DOI":"10.1213\/ANE.0000000000002064","article-title":"Left main coronary artery dissection during aortic valve replacement","volume":"124","author":"Nakao","year":"2017","journal-title":"Anesth Analg"},{"key":"2024011817195767100_ref2","first-page":"770","article-title":"Left main coronary artery dissection after valve replacement: role of coronary computed tomographic angiography","volume":"39","author":"Kyavar","year":"2012","journal-title":"Tex Heart Inst J"},{"key":"2024011817195767100_ref3","volume-title":"Coronary Artery Dissection","author":"Parekh","year":"2023"},{"key":"2024011817195767100_ref4","doi-asserted-by":"crossref","first-page":"3353","DOI":"10.1093\/eurheartj\/ehy080","article-title":"European Society of Cardiology, acute cardiovascular care association, SCAD study group: a position paper on spontaneous coronary artery dissection","volume":"39","author":"Adlam","year":"2018","journal-title":"Eur Heart J"},{"key":"2024011817195767100_ref5","doi-asserted-by":"crossref","first-page":"1147","DOI":"10.1016\/j.ahj.2010.03.012","article-title":"Iatrogenic left main coronary artery dissection: incidence, classification, management, and long-term follow-up","volume":"159","author":"Eshtehardi","year":"2010","journal-title":"Am Heart J"},{"key":"2024011817195767100_ref6","doi-asserted-by":"crossref","first-page":"888","DOI":"10.1002\/ccd.23117","article-title":"Perforation of the sinus of Valsalva by guiding catheter during the percutaneous coronary intervention via the right transradial approach: a very unusual complication","volume":"78","author":"Tomassini","year":"2011","journal-title":"Catheter Cardiovasc Interv"},{"key":"2024011817195767100_ref7","doi-asserted-by":"crossref","first-page":"11","DOI":"10.1016\/j.atssr.2022.10.016","article-title":"Right coronary artery dissection after Ross procedure","volume":"1","author":"Anderson","year":"2023","journal-title":"Ann Thoracic Surg Short Rep"},{"key":"2024011817195767100_ref8","doi-asserted-by":"crossref","first-page":"118","DOI":"10.1186\/s12893-019-0579-4","article-title":"Successful recognition and percutaneous coronary intervention of delayed severe multiple coronary artery dissection caused by cardiac surgery: a case report","volume":"19","author":"Zhang","year":"2019","journal-title":"BMC Surg"},{"key":"2024011817195767100_ref9","doi-asserted-by":"crossref","first-page":"177","DOI":"10.1016\/j.ijcard.2007.03.125","article-title":"Percutaneous coronary intervention for iatrogenic left main coronary artery dissection","volume":"126","author":"Cheng","year":"2008","journal-title":"Int J Cardiol"},{"key":"2024011817195767100_ref10","doi-asserted-by":"crossref","first-page":"412","DOI":"10.1002\/(SICI)1097-0304(199712)42:4<412::AID-CCD16>3.0.CO;2-L","article-title":"Aortic dissection occurring during coronary angioplasty: angiographic and transesophageal echocardiographic findings","volume":"42","author":"Alfonso","year":"1997","journal-title":"Cathet Cardiovasc Diagn"},{"key":"2024011817195767100_ref11","doi-asserted-by":"crossref","first-page":"349","DOI":"10.1016\/S0022-5223(19)39002-6","article-title":"Urgent myocardial revascularization for dissection of the left main coronary artery: a complication of coronary angiography","volume":"84","author":"Connors","year":"1982","journal-title":"J Thorac Cardiovasc Surg"},{"key":"2024011817195767100_ref12","doi-asserted-by":"crossref","first-page":"6797","DOI":"10.4076\/1757-1626-2-6797","article-title":"Iatrogenic right coronary artery dissection distal to a total occlusion: a case report","volume":"2","author":"Antoniades","year":"2009","journal-title":"Cases J"}],"container-title":["Journal of Surgical Case Reports"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/academic.oup.com\/jscr\/article-pdf\/2024\/1\/rjad717\/56149734\/rjad717.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"syndication"},{"URL":"https:\/\/academic.oup.com\/jscr\/article-pdf\/2024\/1\/rjad717\/56149734\/rjad717.pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2024,1,18]],"date-time":"2024-01-18T17:20:36Z","timestamp":1705598436000},"score":1,"resource":{"primary":{"URL":"https:\/\/academic.oup.com\/jscr\/article\/doi\/10.1093\/jscr\/rjad717\/7560335"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2024,1]]},"references-count":12,"journal-issue":{"issue":"1","published-print":{"date-parts":[[2024,1,3]]}},"URL":"https:\/\/doi.org\/10.1093\/jscr\/rjad717","relation":{},"ISSN":["2042-8812"],"issn-type":[{"value":"2042-8812","type":"electronic"}],"subject":[],"published-other":{"date-parts":[[2024,1]]},"published":{"date-parts":[[2024,1]]},"article-number":"rjad717"}}