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Iatrogenic aortic dissection during coronary intervention.

Luigi Maiello1, Ugo La Marchesina, Patrizia Presbitero

  • 1Echocardiography Laboratory, Istituto Clinico Humanitas Via Manzoni, 56 20089 Rozzano, MI. lmaiello@inwid.it

Italian Heart Journal : Official Journal of the Italian Federation of Cardiology
|August 6, 2003
PubMed
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Iatrogenic aortic dissection during coronary procedures is rare. This case shows successful treatment of an extensive ascending aorta dissection using stenting and monitoring.

Area of Science:

  • Cardiovascular Medicine
  • Interventional Cardiology
  • Vascular Surgery

Background:

  • Iatrogenic aortic dissection is a rare but serious complication of coronary angiography and percutaneous coronary intervention.
  • Management strategies for aortic dissection vary based on extent, ranging from endovascular stenting to surgical repair.

Observation:

  • A case of iatrogenic acute dissection of the ascending aorta with retrograde extension occurred during angioplasty of the right coronary artery.
  • The dissection was extensive but confined to the ascending aorta.

Findings:

  • Successful treatment was achieved by stenting the right coronary artery entry point.
  • Transesophageal echocardiography was used for continuous monitoring of the aortic dissection.

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Implications:

  • This case highlights a minimally invasive approach for managing extensive iatrogenic ascending aorta dissections.
  • Endovascular stenting combined with vigilant monitoring can be an effective alternative to surgery in select cases.