Perioperative management for iatrogenic aortocoronary dissection during percutaneous coronary intervention

Area of Science:

• Cardiology
• Vascular Surgery

Background:

• Aortocoronary dissection is a rare yet severe complication.
• This case involves a 72-year-old female presenting with angina.

Observation:

• Percutaneous coronary intervention for right coronary artery disease led to aortocoronary dissection.
• A drug-eluting stent was deployed in the right coronary ostium to seal the dissection entry.
• Computed tomography (CT) confirmed ascending aortic dissection.

Findings:

• The patient was managed non-surgically.
• Follow-up CT demonstrated the disappearance of contrast in the false lumen.
• Successful stenting effectively sealed the coronary artery entry point.

Implications:

• Stenting may offer a viable alternative to surgery for aortocoronary dissections.
• This approach could potentially reduce the need for invasive surgical interventions.
• Further research is warranted to confirm the long-term efficacy of this technique.