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CC BY 4.0 · Aorta (Stamford) 2016; 04(06): 235-239
DOI: 10.12945/j.aorta.2016.16.067
Case Report
Thieme Medical Publishers 333 Seventh Avenue, New York, NY 10001, USA.

Early Spontaneous Resolution of an Iatrogenic Acute Type A Aortic Dissection

Mohammad A. Zafar
1   Aortic Institute at Yale-New Haven Hospital, Yale University School of Medicine, New Haven, Connecticut, USA
,
Philip Y. K. Pang
1   Aortic Institute at Yale-New Haven Hospital, Yale University School of Medicine, New Haven, Connecticut, USA
2   Department of Cardiothoracic Surgery, National Heart Centre, Singapore
,
Glen A. Henry
3   Department of Internal Medicine, Section of Cardiovascular Medicine, Yale University School of Medicine, New Haven, Connecticut, USA
,
Bulat A. Ziganshin
1   Aortic Institute at Yale-New Haven Hospital, Yale University School of Medicine, New Haven, Connecticut, USA
4   Department of Surgical Diseases #2, Kazan State Medical University, Kazan, Russia
,
Maryann Tranquilli
1   Aortic Institute at Yale-New Haven Hospital, Yale University School of Medicine, New Haven, Connecticut, USA
,
John A. Elefteriades
1   Aortic Institute at Yale-New Haven Hospital, Yale University School of Medicine, New Haven, Connecticut, USA
› Author Affiliations
Further Information

Publication History

25 October 2016

05 December 2016

Publication Date:
24 September 2018 (online)

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Abstract

Acute aortic dissection is a rare but devastating complication during cardiac catheterization. We present the case of an elderly female who incurred a Stanford Type A/DeBakey Type I acute aortic dissection extending into the arch vessels and descending aorta likely occurring during right coronary artery engagement for angioplasty. The patient was treated successfully by immediately sealing the entrance of the dissection via the placement of a stent and anti-impulse therapy. Follow-up computed tomography scan showed complete resolution of the dissection within one month.

Key Words

Iatrogenic aortic dissection - Angioplasty - Percutaneous coronary intervention - Complication
 

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