The use of rotational atherectomy and drug-eluting stents in the treatment of heavily calcified coronary lesions.

Introduction: The treatment of calcified coronary artery lesions is a challenge for percutaneous angioplasty. Rotational atherectomy is an established technique for the effective modification of these lesions prior to conventional angioplasty and stent implantation. Drug-eluting stents (DES) have shown encouraging results in complex lesions and high-risk patients.

Syncope and cardiovocal syndrome as the result of a spontaneous innominate artery dissection.

Dissection of the innominate artery is extremely rare and is associated with a high in-hospital mortality rate. We present the case of a 44-year-old man who presented with syncope and cardiovocal syndrome as the result of a spontaneous innominate artery dissection with an extension to the right common carotid.