Iatrogenic Aortocoronary Dissection During Percutaneous Coronary Intervention: Investigation and Management

Area of Science:

• Cardiovascular Medicine
• Interventional Cardiology
• Vascular Surgery

Background:

• Percutaneous coronary intervention (PCI) is a common procedure for stable angina.
• Iatrogenic aortocoronary dissection is a rare but serious complication of PCI.
• Management strategies for aortocoronary dissection vary, ranging from conservative to surgical intervention.

Observation:

• A case of iatrogenic aortocoronary dissection occurred during routine PCI for stable angina.
• The dissection involved the aorta and coronary artery.
• The patient was hemodynamically stable at presentation.

Findings:

• Careful wiring of the true lumen and stent implantation were performed to seal the dissection flap.
• Computed tomography aortography was used to assess the extent of the dissection.
• A conservative management approach was adopted for the residual aortic dissection.

Implications:

• This case highlights the importance of prompt recognition and management of iatrogenic aortocoronary dissection.
• Successful management can be achieved with a combination of interventional techniques and conservative measures.
• Further research may be warranted to optimize treatment strategies for this rare complication.