. 2011; 39(3): 224-227 | DOI: 10.5543/tkda.2011.01151 | |||
Transdermal klonidin yamasına bağlı gelişen spontan sağ koroner arter diseksiyonuMehmet Çilingiroğlu1, Shahid Rahman1, Tarek Helmy1, Puvinarayanan Seshiah21Cincinnati Universitesi Tip Fakultesi, Kardiyoloji ABD, USA2Good Samaritan Hastanesi, Kardiyoloji Abd, Usa Bu yazıda, 44 yaşında kadın hastada transdermal klonidin yama tedavisine bağlı gelişen, spontan sağ koroner arter diseksiyonu sunuldu. Hastadaki koroner arter diseksiyonu perkütan koroner girişimle, ilgili damara üç adet çıplak stent konarak başarıyla tedavi edildi. Hasta herhangi bir komplikasyon olmadan iyileşti. Bilgilerimize göre olgumuz, klonidin etkisiyle spontan koroner arter diseksiyonu geliştiği bildirilen ilk olgudur. Anahtar Kelimeler: Anevrizma, diseke, anjiyoplasti, balon, koroner; klonidin/yan etki; koroner anjiyografi; koroner vazospazm; miyokart iskemisi; ultrasonografi, girişimselSpontaneous right coronary artery dissection possibly associated with clonidine transdermal patchMehmet Çilingiroğlu1, Shahid Rahman1, Tarek Helmy1, Puvinarayanan Seshiah21University of Cincinnati Medical School, Section of Cardiology, Cincinnati, OH USA2Good Samaritan Hospital, Cincinnati, Ohio, Usa We report on a 44-year-old female who developed spontaneous right coronary artery dissection associated with the use of a clonidine transdermal patch. The lesion was successfully treated with percutaneous coronary intervention with placement of three bare metal stents. The patient had an uneventful recovery. To our knowledge, this is the first reported case of spontaneous coronary artery dissection associated with clonidine effect. Keywords: Aneurysm, dissecting, angioplasty, balloon, coronary; clonidine/adverse effects; coronary angiography; coronary vasospasm; myocardial Ischemia; ultrasonography, interventionalMehmet Çilingiroğlu, Shahid Rahman, Tarek Helmy, Puvinarayanan Seshiah. Spontaneous right coronary artery dissection possibly associated with clonidine transdermal patch. . 2011; 39(3): 224-227 Sorumlu Yazar: Mehmet Çilingiroğlu, Türkiye |
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