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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

Insights

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.

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.

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