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A Case of Iatrogenic Aortic Intramural Hematoma

Kamil Muhyieddeen1, Arang Samim1, Michah Roberts1

  • 1University of California San Francisco, Fresno Campus, Fresno, California.

Methodist Debakey Cardiovascular Journal
|April 18, 2017
PubMed

Insights

Iatrogenic aortic dissection, a rare complication of percutaneous coronary intervention, can be managed conservatively or surgically. This case highlights an ascending aortic dissection during intervention in an elderly female patient.

Area of Science:

  • Cardiology
  • Vascular Surgery

Background:

  • Iatrogenic aortic dissection is a rare but severe complication during percutaneous coronary intervention (PCI).
  • Management strategies include both conservative and surgical approaches.
  • Ascending aortic dissection presents unique challenges in PCI patients.

Observation:

  • An 87-year-old female presented with acute coronary syndrome.
  • The patient developed an ascending aortic dissection during PCI.
  • This complication required immediate clinical consideration.

Findings:

  • The case illustrates a specific instance of iatrogenic aortic dissection during PCI.
  • Literature review on management strategies for this complication is provided.
  • Successful management depends on prompt diagnosis and tailored intervention.

Implications:

  • This case underscores the importance of vigilance for aortic dissection during PCI.
  • It contributes to the understanding of managing this rare complication.
  • Optimal patient outcomes rely on multidisciplinary approaches in vascular emergencies.

Keywords:
iatrogenic aortic dissectionpercutaneous coronary intervention

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