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Iatrogenic coronary artery dissection extending into the ascending aorta

Dzhem Farandzha1, Iva Gasharova-Petrova2, Dobri Hazarbasanov3

  • 1St Anna University Hospital, Sofia, Bulgaria.

Folia Medica
|November 8, 2024
PubMed

Insights

A rare complication of percutaneous coronary intervention is coronary artery dissection extending into the aorta. Emergent cardiac surgery successfully treated this dissection, allowing the patient

Area of Science:

  • Cardiovascular Medicine
  • Interventional Cardiology
  • Cardiac Surgery

Background:

  • Percutaneous coronary interventions (PCI) are common procedures for coronary artery disease.
  • Coronary artery dissection is a feared complication of PCI.
  • Aortic propagation of coronary dissection is a rare but serious event.

Observation:

  • A 50-year-old patient presented with new-onset angina and two-vessel coronary artery disease.
  • PCI of the right coronary artery resulted in an iatrogenic coronary dissection.
  • The dissection extended into the ascending aorta, necessitating emergent cardiac surgery.

Findings:

  • Surgical intervention successfully addressed the aortic extension of the coronary dissection.
  • Post-operative computed tomography confirmed resolution of the aortic dissection.
  • The patient recovered well and was discharged in stable condition.

Implications:

  • This case highlights the importance of recognizing and managing PCI-induced coronary artery dissections extending to the aorta.
  • Emergent cardiac surgery can be an effective treatment for this rare complication.
  • Prompt surgical intervention may prevent severe aortic complications.

Keywords:
iatrogenic dissection percutaneous coronary intervention

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