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Conservative Treatment of Iatrogenic Ascending Aortic Hematoma Post-Rotablator Coronary Procedure

Maxime Doutriaux1, Benjamin Pariente1, Jad Zahnan1

  • 1Department of Cardiology, CHI Poissy-Saint-Germain-en-Laye Site Hospitalier de Poissy, Poissy, France.

The Thoracic and Cardiovascular Surgeon Reports
|October 16, 2020
PubMed

Insights

Aortic intramural hematoma, a rare complication of percutaneous coronary intervention, can be managed conservatively in stable patients. This case highlights successful conservative treatment for iatrogenic aortic hematoma following coronary artery dissection.

Area of Science:

  • Cardiology
  • Interventional Cardiology
  • Vascular Surgery

Background:

  • Aortic intramural hematoma is a rare but serious complication of percutaneous coronary intervention.
  • Coronary artery dissection can lead to aortic intramural hematoma, posing significant risks.

Observation:

  • A 78-year-old female with stable angina underwent diagnostic coronarography.
  • Significant calcification in the right coronary ostium necessitated a Rotablator procedure.
  • The procedure resulted in an iatrogenic ascending aortic hematoma.

Findings:

  • A conservative management approach was chosen after surgical consultation.
  • The patient experienced complete hematoma resorption within one week.
  • Full recovery was achieved, highlighting the potential for non-surgical intervention.

Implications:

  • Conservative treatment can be a viable option for aortic hematoma in hemodynamically stable patients.
  • This case underscores the importance of individualized treatment strategies for PCI complications.
  • Further research into conservative management protocols for aortic intramural hematoma is warranted.

Keywords:
aortaaortic diseaseimagingpercutaneous coronary intervention

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