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Dissection of the ascending aorta induced by coronary angiography
Y Birnbaum1, M C Fishbein, R Kass
1Division of Cardiology, Cedars-Sinai Medical Center, Los Angeles, California 90048, USA.
The American Journal of Cardiology
|August 15, 1997
Insights
Aortic dissection can occur as a complication of right coronary artery stenting. This case report details imaging and histology of an iatrogenic aortic dissection following coronary artery intervention.
Area of Science:
- Cardiology
- Vascular Surgery
- Medical Imaging
Background:
- Coronary artery stenting is a common procedure for treating coronary artery disease.
- Iatrogenic complications, though rare, can occur during interventional cardiology procedures.
- Dissection of the ascending aorta is a serious vascular emergency.
Observation:
- A 75-year-old woman developed an iatrogenic dissection of the ascending aorta.
- The dissection was a consequence of stenting the right coronary artery.
- Diagnostic imaging included coronary angiography and transesophageal echocardiography.
Findings:
- The study presents detailed imaging findings of the aortic dissection.
- Histological examination of the affected aorta is also provided.
- The findings illustrate the pathological changes associated with iatrogenic aortic injury.
Implications:
- This case highlights a potential, albeit uncommon, risk associated with coronary artery stenting.
- Awareness of this complication is crucial for interventional cardiologists.
- Understanding the imaging and histological features aids in diagnosis and management of similar cases.
Abstract:
We present a 75-year-old woman with an iatrogenic dissection of the ascendin aorta, induced by stenting of the right coronary artery. Coronary angiographic and transesophageal echocardiographic imaging and histology are presented.