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Spontaneous Regression of a Large Iatrogenic Dissection of the Ascending Aorta

Aurélien Roumy1, Matthias Kirsch1, René Prêtre1

  • 1Cardiovascular Surgery Department, University Hospital of Lausanne, Lausanne, Switzerland.

Aorta (Stamford, Conn.)
|May 19, 2017
PubMed

Insights

A large iatrogenic ascending aorta dissection, caused during coronary angioplasty, completely resolved with medical therapy alone. This suggests conservative management may be effective for uncomplicated cases.

Area of Science:

  • Cardiology
  • Vascular Surgery
  • Radiology

Background:

  • Iatrogenic aortic dissection is a rare but serious complication during cardiac procedures.
  • Ascending aorta dissection requires careful evaluation and management strategies.

Observation:

  • A 74-year-old woman developed an iatrogenic ascending aorta dissection post-coronary angioplasty.
  • Initial computed tomography (CT) revealed a large false lumen involving the ascending aorta.

Findings:

  • The patient remained hemodynamically stable and asymptomatic on medical therapy alone.
  • Serial CT scans demonstrated complete regression of the false lumen within 3 days.

Implications:

  • Uncomplicated iatrogenic ascending aorta dissections, regardless of size, may be successfully managed non-surgically.
  • This case highlights the potential efficacy of conservative medical management in select aortic dissection cases.

Keywords:
AortaAortic rootCoronarographyCoronary arteryIatrogenic DissectionIntramural hematoma

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