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CC BY 4.0 · Aorta (Stamford) 2016; 04(06): 226-228
DOI: 10.12945/j.aorta.2016.16.009
Case Report
Thieme Medical Publishers 333 Seventh Avenue, New York, NY 10001, USA.

Spontaneous Regression of a Large Iatrogenic Dissection of the Ascending Aorta

Aurélien Roumy
1   Cardiovascular Surgery Department, University Hospital of Lausanne, Lausanne, Switzerland
,
Matthias Kirsch
1   Cardiovascular Surgery Department, University Hospital of Lausanne, Lausanne, Switzerland
,
René Prêtre
1   Cardiovascular Surgery Department, University Hospital of Lausanne, Lausanne, Switzerland
,
Lars Niclauss
1   Cardiovascular Surgery Department, University Hospital of Lausanne, Lausanne, Switzerland
› Author Affiliations
Further Information

Publication History

12 March 2016

24 October 2016

Publication Date:
24 September 2018 (online)

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Abstract

A 74-year-old woman was admitted for right coronary angioplasty. During the procedure, she complained about chest pain, and contrast injection showed an iatrogenic dissection of the ascending aorta. A contrast computed tomography (CT) scan confirmed the diagnosis via visualization of a large non-circulating false lumen, which involved nearly the entire ascending aorta. The patient remained hemodynamically stable and asymptomatic while receiving medical therapy alone. Another CT scan performed 3 days later showed complete regression of the false lumen. This case suggests that uncomplicated iatrogenic dissection of the ascending aorta, even when large, may be managed successfully by medical therapy.

Key Words

Iatrogenic Dissection - Intramural hematoma - Coronarography - Aortic root - Aorta - Coronary artery
 

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