Related Experiment Video
Updated: Aug 16, 2026

Novel and Innovative Hybrid Technique for Type A Aortic Dissection
Published on: March 28, 2025
Dual percutaneous management of Dunning type III iatrogenic aortic dissection during percutaneous coronary
Lin Chen1,2, Fandy Santoso Budiardjo1, Xiaofang Chen1
1Department of Cardiology, The Xiamen Cardiovascular Hospital of Xiamen University, No. 2999 Jinshan Road, Huli District, Xiamen, Fujian 361000, China.
Insights
Iatrogenic aortocoronary dissection (IACD) is a rare but serious complication of percutaneous coronary intervention (PCI). A covered stent (CS) effectively treated a Dunning type II IACD refractory to drug-eluting stents (DES), halting dissection progression.
Area of Science:
- Cardiovascular Medicine
- Interventional Cardiology
- Medical Device Technology
Background:
- Iatrogenic aortocoronary dissection (IACD) is a rare but life-threatening complication during percutaneous coronary intervention (PCI).
- Early diagnosis and management are critical for patient outcomes.
- Dunning type II dissection involves retrograde extension into the aortic root.
Background:
Iatrogenic aortocoronary dissection (IACD) is an uncommon but potentially life-threatening complication of percutaneous coronary intervention (PCI).
Case Summary:
We report the case of a 64-year-old male who developed IACD (Dunning type II) during PCI of right coronary artery. Initial bailout with drug-eluting stents (DSE) implantation but failed to completely exclude a retrograde tear into the aortic root. A larger covered stent (CS) was successfully deployed at the ostium halting the progression of the aortic dissection.
Conclusion:
This case highlights that for PCI-induced IACD refractory to conventional DES, a CS provides a definitive barrier to halt dissection. A prompt percutaneous bailout, reinforced by strict haemodynamic control and surgical standby, is crucial for managing this catastrophic complication.
Related Concept Videos
Peripheral Artery Disease III: Interprofessional Care
Aneurysm III: Interprofessional Care
Aneurysm IV: Nursing Management
Pericarditis III: Medical Management
Coronary Artery Disease V: Interprofessional Care
Angina IV: Management