Vahit DEMİR, Hüseyin EDE, Çağlar ALP, Yaşar TURAN, Şıho HİDAYET

SAĞ KORONER ARTERDE DİSEKSİYONU TAKLİT EDEN “AKORDEON FENOMENİ”: VAKA SUNUMU Case Report : “Accordion Phenomenon” In Right Coronary Artery Mimicking the Coronary Artery Dissection

Akordeon etkisi tortiyoze arterlerin bir psödolezyonu olup, yalancı diseksiyon, spazm, trombüsve emboli görünümü ile karışabilir. Bu durum hekimlerde büyük bir endişe uyandırır.Klinik uygulamada perkütan koroner girişim esnasında koroner arter diseksiyonunun görülmesiyaygındır. Gereksiz müdahalelerden kaçınmak için akordeon etkisi ile perkütan koronergirişimin potansiyel komplikasyonları arasında ayırıcı tanı yapmak gerekir. Bundan dolayı girişimselkardiyologların koroner girişimler sırasında akordeon etkisini akıllarında bulundurmalarıgerekmektedir. Burada, stabil anjina pektoris tanısıyla başvuran koroner anjiografidesağ koroner arterin proximal segmentinde akordeon etkisi bulunan 75 yaşında bir olgu sunulmuştur.Anahtar Sözcu¨kler: Akordeon etkisi; Psödolezyon; Sağ koroner arterABSTRACTThe accordion effect is a pseudolesion of the tortuous arteries that may be interfered withfalse dissection, spasm, thrombus and embolism. This is a major concern for physicians.In clinical practice, coronary artery dissection is common during percutaneous coronaryintervention. It is essential to make the differential diagnosis between the accordionphenomenon and potential complications of percutaneous coronary interventions, to avoidfurther therapeutic intervention. Therefore, interventional cardiologists should rememberthe accordion effect during coronary interventions. Here, we reported a 75-year-old man,with accordion effect in proximal segment of right coronary artery, detected in coronaryangiography and presented with stable angina pectoris.Keywords: Accordion effect; Pseudolesion; Right coronary artery

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SAĞ KORONER ARTERDE DİSEKSİYONU TAKLİT EDEN “AKORDEON FENOMENİ”: VAKA SUNUMU Case Report : “Accordion Phenomenon” In Right Coronary Artery Mimicking the Coronary Artery Dissection

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