Spontaneous Early Resolution of an Iatrogenic Type A Aortic Dissection Following Coronary Angiography

Area of Science:

• Cardiology
• Interventional Cardiology
• Vascular Surgery

Background:

• Iatrogenic aortic dissection is a rare but serious complication during cardiac procedures.
• Non-ST-elevation myocardial infarction (NSTEMI) requires careful management, and procedural complications must be promptly addressed.

Purpose of the Study:

• To report a case of iatrogenic aortic dissection occurring during coronary angiography in a patient with NSTEMI.
• To emphasize the role of conservative medical management in uncomplicated iatrogenic aortic dissections.

Main Methods:

• A 74-year-old male patient with NSTEMI underwent right coronary angiography.
• Computed tomography angiography was used for diagnosis and monitoring of the aortic dissection.
• The patient was managed conservatively with medical therapy.

Main Results:

• Coronary angiography revealed an iatrogenic dissection extending to the proximal ascending aorta.
• Computed tomography angiography confirmed no further extension or hemodynamic compromise.
• The patient remained hemodynamically stable and was successfully treated with medical therapy alone.

Conclusions:

• Uncomplicated iatrogenic aortic dissection, even extending to the aorta, can be managed effectively with medical therapy.
• This case underscores the importance of a conservative approach in select patients to avoid more invasive interventions.