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Iatrogenic Acute Aortic Dissection during Percutaneous Coronary Intervention for Acute Myocardial Infarction

Kenichiro Noguchi1, Daijiro Hori, Yohei Nomura

  • 1Department of Cardiovascular Surgery, Fujigaoka Hospital, Showa University, Yokohama, Kanagawa, Japan.

Annals of Vascular Diseases
|April 5, 2013
PubMed

Insights

Iatrogenic acute aortic dissection, a rare complication of percutaneous coronary intervention, can be extensive. This case highlights the need for emergent surgical repair in such critical situations.

Area of Science:

  • Cardiology
  • Cardiovascular Surgery
  • Interventional Cardiology

Background:

  • Percutaneous coronary intervention (PCI) is a common procedure for acute myocardial infarction.
  • Iatrogenic acute aortic dissection is a rare but life-threatening complication of PCI.
  • Management strategies vary based on dissection extent, from stenting to surgical intervention.

Observation:

  • A case of extensive Type A aortic dissection occurred during left circumflex artery angioplasty for acute myocardial infarction.
  • The patient presented with a critical iatrogenic aortic dissection.
  • The dissection extended significantly, necessitating immediate surgical management.

Findings:

  • The extensive iatrogenic aortic dissection required emergent surgical repair.
  • Supracoronary replacement of the ascending aorta was performed.
  • Successful surgical intervention addressed the critical complication.

Implications:

  • This case underscores the importance of recognizing and managing iatrogenic aortic dissections during PCI.
  • Prompt surgical intervention is crucial for extensive dissections to ensure patient survival.
  • Highlights the multidisciplinary approach required for managing complex cardiovascular emergencies.

Keywords:
acute myocardial infarctioniatrogenic acute aortic dissectionpercutaneous coronary intervention

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