Catheter Induced Dissection of Right Coronary Artery during Percutaneous Coronary Intervention: A Case Report

Iatrogenic coronary artery dissections are rare but life-threatening complications which may have different etiologies. These complications should be recognized promptly and must be managed to avoid mortality. We are reporting a case of a 57-year old man who presented to us with acute inferior wall myocardial infarction and developed proximal right coronary dissection while undergoing percutaneous angioplasty through trans radial approach and was managed successfully with immediate rewiring and stenting of the right coronary artery. The patient remained asymptomatic at regular follow up. Coronary angiogram and angioplasty are both invasive procedures which may at times result in iatrogenic complications like catheter induced coronary dissection. Coronary artery dissection may prove fatal at times and should be dealt with immediately with appropriate intervention.