title: Aortic dissection occurring during coronary angioplasty: angiographic and transesophageal echocardiographic findings.
abstract: A localized acute aortic dissection was produced in 2 patients, complicating coronary angioplasty. In both cases a coronary dissection provided the entry door, with subsequent retrograde progression of the dissection into the aortic root. After sealing the entry door, both patients could be managed conservatively using transesophageal echocardiography to accurately define the location of the intimal flap and to rule out dissection progression.
authors.affiliation: Interventional Cardiology Unit, Hospital Universitario, San Carlos, Madrid Spain.
authors.forename: F
authors.initials: F
authors.lastname: Alfonso
authors.forename: C
authors.initials: C
authors.lastname: Almería
authors.forename: A
authors.initials: A
authors.lastname: Fernández-Ortíz
authors.forename: J
authors.initials: J
authors.lastname: Segovia
authors.forename: J
authors.initials: J
authors.lastname: Ferreirós
authors.forename: J
authors.initials: J
authors.lastname: Goicolea
authors.forename: R
authors.initials: R
authors.lastname: Hernández
authors.forename: C
authors.initials: C
authors.lastname: Bañuelos
authors.forename: M
authors.initials: M
authors.lastname: Gil-Aguado
authors.forename: C
authors.initials: C
authors.lastname: Macaya
mesh_terms: D000368:Aged; D015906:Angioplasty, Balloon, Coronary / Q000009:adverse effects*; D001011:Aorta / Q000000981:diagnostic imaging / Q000293:injuries*; D017023:Coronary Angiography; D003327:Coronary Disease / Q000000981:diagnostic imaging / Q000209:etiology* / Q000628:therapy; D018450:Disease Progression; D017548:Echocardiography, Transesophageal; D005500:Follow-Up Studies; D006801:Humans; D008297:Male; D008875:Middle Aged; D012421:Rupture