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Novel and Innovative Hybrid Technique for Type A Aortic Dissection
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Type A aortic dissection during diagnostic coronary angiography in normal coronary arteries: A case report

Alena Gonzalez1, Xiongbin Lin1, Vikash Jaiswal2

  • 1Department of Internal Medicine Icahn School of Medicine at Mount Sinai - Elmhurst Hospital Center Elmhurst New York USA.

Clinical Case Reports
|August 9, 2023
PubMed

Insights

Aortic dissection is a rare complication of coronary angiography. Patient-centered shared decision-making is crucial for managing this condition, even when surgery is typically recommended.

Area of Science:

  • Cardiology
  • Vascular Surgery

Background:

  • Coronary angiography (CA) is a standard diagnostic tool for coronary artery disease (CAD).
  • While generally safe, CA carries risks of rare but serious complications.
  • Type A aortic dissection (AD) is a life-threatening complication that can arise post-procedure.

Observation:

  • An elderly woman developed type A aortic dissection (AD) after undergoing CA for ST-elevation myocardial infarction (STEMI).
  • Despite the diagnosis of AD, the patient was asymptomatic and without complaints.
  • Conservative management was chosen over emergent surgery through shared decision-making.

Findings:

  • The case highlights that type A aortic dissection (AD) can occur as a rare complication of coronary angiography (CA).
  • Asymptomatic presentation of type A AD allows for conservative management.
  • Shared decision-making is paramount in determining the optimal treatment strategy for aortic dissection.

Implications:

  • Management of type A aortic dissection (AD) should be individualized, prioritizing patient autonomy.
  • Shared decision-making ensures treatment aligns with patient preferences and clinical status.
  • This case underscores the importance of considering conservative options in select type A AD cases.

Keywords:
aortic dissectioncoronary angiographyiatrogenic

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