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Direct Re-implantation of Left Coronary Artery into the Aorta in Adults with Anomalous Origin of Left Coronary Artery from the Pulmonary Artery ALCAPA
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A late presentation of acute iatrogenic aortic dissection following percutaneous coronary intervention: A case report

Pgn Danushka1, R Jayasinghe1, M Munsinghe1

  • 1Department of Surgery, National Hospital of Sri Lanka, Colombo, Sri Lanka.

SAGE Open Medical Case Reports
|November 13, 2023
PubMed

Insights

Iatrogenic aortic dissection after percutaneous coronary intervention is a rare complication. Early diagnosis with cardiac CT is crucial for timely aortic repair and improved patient outcomes.

Area of Science:

  • Cardiology
  • Vascular Surgery

Background:

  • Iatrogenic aortic dissection is a rare but serious complication following percutaneous coronary intervention (PCI).
  • Delayed diagnosis significantly increases morbidity and mortality rates associated with this condition.

Observation:

  • A 52-year-old male developed iatrogenic aortic dissection after PCI for ST-elevation myocardial infarction.
  • Conventional imaging failed to diagnose the dissection for five months.

Findings:

  • Cardiac computed tomography (CT) successfully diagnosed the delayed iatrogenic aortic dissection.
  • The patient underwent successful aortic repair using a Dacron graft.

Implications:

  • This case underscores the importance of considering iatrogenic aortic dissection in patients with concerning symptoms post-PCI.
  • Appropriate and timely imaging, such as cardiac CT, is vital for early diagnosis and effective management.
  • Prompt diagnosis and surgical intervention can lead to favorable outcomes and minimize long-term complications.

Keywords:
Case reportPCI complicationsaortic dissection after PCIlate presentation of aortic dissection

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