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Iatrogenic type A aortic dissection complicating percutaneous coronary intervention: a case report

Xiao-Zhou Du1, Brett Memauri1

  • 1Department of Radiology, University of Manitoba, GA220-820 Sherbrook Street, Winnipeg, Manitoba R3A1R9, Canada.

Radiology Case Reports
|August 23, 2017
PubMed

Insights

Iatrogenic type A aortic dissection from percutaneous coronary intervention is rare and serious. Computed tomographic angiography is key for diagnosis, but this case highlights potential diagnostic challenges.

Area of Science:

  • Cardiology
  • Radiology
  • Vascular Surgery

Background:

  • Iatrogenic type A aortic dissection is a rare complication of percutaneous coronary intervention.
  • This condition is life-threatening and requires prompt diagnosis and management.

Observation:

  • Computed tomographic angiography (CTA) is the primary imaging modality for suspected iatrogenic aortic dissection.
  • A case of iatrogenic type A dissection following percutaneous coronary intervention is presented.

Findings:

  • Successful diagnosis of type A aortic dissection was achieved using CTA.
  • The case illustrates a potential diagnostic pitfall associated with CTA in this context.

Implications:

  • Accurate interpretation of CTA is crucial for timely management of iatrogenic aortic dissection.
  • Awareness of potential diagnostic challenges can improve patient outcomes.

Keywords:
Chronic total occlusionComputed tomographyEchocardiographyPercutaneous coronary interventionRight coronary artery

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