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Updated: Dec 15, 2025

Standardized Technique of Aortic Valve Re-implantation for Valve-sparing Aortic Root Replacement
Published on: December 11, 2017
Emergency valve preserving ascending aorta replacement following iatrogenic right coronary artery dissection: A
Vidur Bansal1, Anand Kumar Mishra1, Rupesh Kumar1
1Department of Cardiothoracic and Vascular Surgery, Post Graduate Institute of Medical Education and Research, Chandigarh, India.
Insights
Iatrogenic aortocoronary dissection, a rare complication of coronary catheterization, can lead to myocardial infarction and death. Prompt surgical intervention is crucial for managing this potentially fatal condition.
Area of Science:
- Cardiovascular Medicine
- Interventional Cardiology
- Surgical Innovation
Background:
- Iatrogenic aortocoronary dissection is a rare but life-threatening complication during coronary catheterization.
- Disruption of the coronary artery intima can result in procedure failure, myocardial infarction, and mortality.
- This condition typically presents as intimal tears or contrast leakage outside the coronary lumen.
Abstract:
Iatrogenic aortocoronary dissection is a rare but potentially fatal complication of coronary catheterizations. Although the incidence is comparatively low, dissection often leads to procedure failure with increased risk of myocardial infarction and death. Iatrogenic aortocoronary dissection is principally caused by disruption of intima at the ostia of the right or left coronary artery during interventional procedures and appears as luminal filling defects, the persistence of contrast or intimal tear outside the coronary lumen. We present a case of right coronary artery dissection leading to type-A aortic dissection suffered during diagnostic coronary catheterization. This required emergency supracoronary replacement of the ascending aorta with an aortic interposition tube graft and venous grafts to coronary arteries.
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