Related Experiment Video

Updated: Aug 17, 2026

Direct Re-implantation of Left Coronary Artery into the Aorta in Adults with Anomalous Origin of Left Coronary Artery from the Pulmonary Artery ALCAPA
13:10

Direct Re-implantation of Left Coronary Artery into the Aorta in Adults with Anomalous Origin of Left Coronary Artery from the Pulmonary Artery ALCAPA

Published on: April 24, 2017

18.9K

Aortic Dissection Caused by Percutaneous Coronary Intervention: 2 New Case Reports and Detailed Analysis of 86

Priyank Shah, Sharad Bajaj, Fayez Shamoon

    Texas Heart Institute Journal
    |April 6, 2016
    PubMed

    Insights

    Aortic dissection following percutaneous coronary intervention is rare but serious. Most cases can be successfully managed without surgery, improving patient outcomes.

    Area of Science:

    • Cardiology
    • Vascular Surgery

    Background:

    • Aortic dissection is a rare but life-threatening complication of percutaneous coronary intervention (PCI).
    • Prompt recognition and treatment are crucial for patient survival.

    Observation:

    • This study analyzes 2 new cases and 86 previously reported cases of aortic dissection post-PCI.
    • Dissections most frequently occurred during interventions on the right coronary artery (76.7%).
    • Catheter trauma (54%) and balloon inflation (23.8%) were the primary causes.

    Findings:

    • The overall mortality rate for aortic dissection following PCI was 7.1%.
    • A significant majority of patients were successfully treated conservatively or with stenting.
    • Surgical intervention was not required in most cases.

    Implications:

    • Non-surgical management, including conservative treatment and stenting, is effective for most PCI-induced aortic dissections.
    • This approach can avoid the need for invasive aortic repair in many patients.
    • Highlights the importance of vigilance for aortic injury during PCI procedures.

    Keywords:
    Angioplasty, balloon, coronary/adverse effectsaneurysm, dissecting/diagnosis/etiology/radiography/surgery/therapyaorta/injuriescardiac catheterization/adverse effects/methodscoronary disease/therapycoronary vessels/injuriesiatrogenic diseaseintraoperative complications/etiologystentstreatment failure/outcome

    More Related Videos

    Author Spotlight: Using Point-of-Care Ultrasound for Comprehensive Evaluation of the Abdominal Aorta07:12

    Author Spotlight: Using Point-of-Care Ultrasound for Comprehensive Evaluation of the Abdominal Aorta

    Published on: September 8, 2023

    3.7K
    Novel and Innovative Hybrid Technique for Type A Aortic Dissection06:26

    Novel and Innovative Hybrid Technique for Type A Aortic Dissection

    Published on: March 28, 2025

    629

    Related Concept Videos

    Aortic Regurgitation II: Clinical Features and Diagnostic Tests01:22

    Aortic Regurgitation II: Clinical Features and Diagnostic Tests

    Aortic valve regurgitation (AR) occurs when the aortic valve fails to close properly, allowing blood to flow backward from the aorta into the left ventricle. This backflow can result in two distinct clinical presentations: acute and chronic AR, each characterized by its own set of symptoms and physical findings.Acute Aortic RegurgitationAcute AR presents with a sudden onset of severe symptoms. Patients typically experience profound dyspnea (shortness of breath), chest pain, and signs of left...
    Aneurysm I: Introduction01:30

    Aneurysm I: Introduction

    An aortic aneurysm is a localized outpouching or dilation at a weak point in the artery wall. It may involve different parts of the aorta, such as the abdominal aorta, aortic arch, or thoracic aorta.Etiological factorsSeveral disorders are associated with aortic aneurysms.Congenital causes, such as primary connective tissue disorders like Marfan syndrome, impact the integrity and strength of connective tissues, notably affecting the aorta. Marfan syndrome is a genetic disorder that specifically...
    Aneurysm II: Clinical Manifestations and Diagnostic Studies01:21

    Aneurysm II: Clinical Manifestations and Diagnostic Studies

    Thoracic, aortic arch and abdominal aneurysms are significant vascular conditions that can present with various clinical manifestations and lead to serious complications. Understanding these manifestations and the appropriate diagnostic studies is essential for effective management and treatment.Thoracic Aortic AneurysmsThoracic aortic aneurysms often remain asymptomatic until they reach a size that impinges on adjacent structures. They typically cause deep, diffuse chest pain that radiates to...
    Aneurysm III: Interprofessional Care01:26

    Aneurysm III: Interprofessional Care

    Aneurysm management involves either conservative medical therapy or surgical intervention, depending on the size and symptoms of the aneurysm. Conservative management is generally reserved for smaller, asymptomatic aneurysms, while larger or symptomatic aneurysms often necessitate surgical repair.Conservative Medical TherapyFor small, asymptomatic aneurysms, particularly abdominal aortic aneurysms (AAA) less than 5.5 centimeters in diameter, conservative medical therapy is recommended. This...