Clampless myocardial revascularization on a healed iatrogenic aortic dissection

Area of Science:

• Cardiology
• Vascular Surgery

Background:

• Iatrogenic aortic dissection is a rare but serious complication of cardiac catheterization, occurring in 0.03-0.06% of procedures.
• This complication is associated with a high mortality rate (up to 19% at 30 days) and often requires immediate surgical intervention.

Observation:

• A case of iatrogenic aortic dissection occurred during cardiac catheterization in a patient with symptomatic coronary artery disease.
• The dissection was limited and non-progressive, prompting a decision for conservative management.

Findings:

• The patient successfully underwent conservative management for the aortic dissection.
• Following conservative treatment, the patient received surgical revascularization using a clampless technique, despite the recent aortic injury.

Implications:

• This case suggests that conservative management may be a viable option for limited, non-progressive iatrogenic aortic dissections.
• The successful application of a clampless surgical technique in a patient with recent aortic injury demonstrates its potential safety and efficacy.