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Spontaneous Resolution of Iatrogenic Aortic Dissection After Coronary Arterial Stenting

Ji-Hoon Kim1, Wan Kee Kim2, Suk-Won Song1

  • 1Department of Cardiovascular Surgery, Gangnam Severance Hospital, Yonsei University College of Medicine, Seoul, Republic of Korea.

JACC. Case Reports
|May 2, 2022
PubMed

Insights

Iatrogenic aortic dissection (AD) from coronary angiography can be life-threatening. This case report details the spontaneous resolution of catheter-driven AD, offering insights into managing this rare complication.

Area of Science:

  • Cardiology
  • Vascular Surgery
  • Interventional Radiology

Background:

  • Coronary arterial angiography, while essential for diagnosing coronary artery disease, carries a rare but severe risk of iatrogenic aortic dissection (AD).
  • Optimal management strategies for iatrogenic AD remain unclear due to limited reported cases and data.

Purpose of the Study:

  • To present a case of spontaneous resolution of catheter-driven iatrogenic AD.
  • To contribute to the limited body of knowledge regarding the management of iatrogenic AD.

Main Methods:

  • A case report detailing a patient who developed AD during coronary arterial intervention.
  • Observation of the clinical course and imaging findings following the iatrogenic event.

Main Results:

  • The patient experienced spontaneous resolution of the iatrogenic aortic dissection.
  • No immediate or delayed adverse cardiovascular events were noted post-dissection.

Conclusions:

  • Spontaneous resolution of catheter-driven iatrogenic AD is possible.
  • This case highlights a potential conservative management pathway for select patients with iatrogenic AD.

Keywords:
AD, aortic dissectionCT, computed tomographyaortadissectionpercutaneous coronary intervention

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