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CC BY 4.0 · Aorta (Stamford) 2018; 06(06): 142-144
DOI: 10.1055/s-0039-1683956
Case Report
Thieme Medical Publishers 333 Seventh Avenue, New York, NY 10001, USA.

Spontaneous Early Resolution of an Iatrogenic Type A Aortic Dissection Following Coronary Angiography

Yavuzer Koza
1   Department of Cardiology, Ataturk University Faculty of Medicine, Erzurum, Turkey
,
Uğur Kaya
2   Department of Cardiovascular Surgery, Ataturk University Faculty of Medicine, Erzurum, Turkey
,
Hakan Taş
1   Department of Cardiology, Ataturk University Faculty of Medicine, Erzurum, Turkey
,
Enise Armagan Koza
3   Department of Anesthesiology, Erzurum Regional Training and Research Hospital, Erzurum, Turkey
› Author Affiliations Funding None.
Further Information

Publication History

20 September 2017

09 November 2018

Publication Date:
24 April 2019 (online)

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Abstract

A 74-year-old man was admitted with the diagnosis of non–ST-elevation myocardial infarction. During right coronary angiography, a coronary artery dissection extending into the proximal ascending aorta was noticed without hemodynamic compromise. Immediate computed tomography angiography showed no evidence of dissection in the ascending aorta. The patient remained hemodynamically stable with medical therapy alone. This case report highlights the importance of medical therapy in patients with uncomplicated iatrogenic aortic dissection.

Keywords

iatrogenic aortic dissection - coronary angiography - aorta - medical therapy
 

  • References

  • 1 Boukhris M, Tomasello SD, Marzà F, Azzarelli S, Galassi AR. Iatrogenic aortic dissection complicating percutaneous coronary intervention for chronic total occlusion. Can J Cardiol 2015; 31 (03) 320-327
    CrossrefPubMedGoogle Scholar
  • 2 Carter AJ, Brinker JA. Dissection of the ascending aorta associated with coronary angiography. Am J Cardiol 1994; 73 (12) 922-923
    CrossrefPubMedGoogle Scholar
  • 3 Santos M, Luz A, Silveira J. , et al. Aortocoronary dissection complicating percutaneous angioplasty. Rev Port Cardiol 2011; 30 (09) 745-747
    CrossrefPubMedGoogle Scholar
  • 4 Sohrabi B, Kazemi B, Aslanabadi N. Percutaneous treatment of catheter-induced dissection of the right coronary artery and adjacent aortic wall. J Invasive Cardiol 2007; 19 (07) E199-E202
    PubMedGoogle Scholar
  • 5 Dunning DW, Kahn JK, Hawkins ET, O'Neill WW. Iatrogenic coronary artery dissections extending into and involving the aortic root. Catheter Cardiovasc Interv 2000; 51 (04) 387-393
    CrossrefPubMedGoogle Scholar
  • 6 Carstensen S, Ward MR. Iatrogenic aortocoronary dissection: the case for immediate aortoostial stenting. Heart Lung Circ 2008; 17 (04) 325-329
    CrossrefPubMedGoogle Scholar
  • 7 Roumy A, Kirsch M, Prêtre R, Niclauss L. Spontaneous regression of a large iatrogenic dissection of the ascending aorta. Aorta (Stamford) 2016; 4 (06) 226-228
    Article in Thieme ConnectPubMedGoogle Scholar
  • 8 Park IW, Min PK, Cho DK, Byun KH. Successful endovascular treatment of iatrogenic coronary artery dissection extending into the entire ascending aorta. Can J Cardiol 2008; 24 (11) 857-859
    CrossrefPubMedGoogle Scholar
  • 9 Wykrzykowska JJ, Ligthart J, Lopez NG, Schultz C, Garcia-Garcia H, Serruys PW. How should I treat an iatrogenic aortic dissection as a complication of complex PCI?. EuroIntervention 2012; 7 (09) 1111-1117
    CrossrefPubMedGoogle Scholar