Successful conservative surgery of acute ascending aortic dissection occurring during coronary angiography.
We reported the case of an acute aortic dissection complicating right guiding catheter manipulation during engagement in the right coronary ostium. Despite absence of hemodynamic deterioration, dissection progressed rapidly from the sinus of Valsalva to the ascending aorta along its entire length. At surgery, performed in emergency, the aorta was not dilated and the aortic wall did not appear pathologic. Therefore conservative surgery was performed, consisting of suture of the aortic tear and incollage of the false lumen, with good immediate and mid-term results.
Leclercq
F
F
Cardiologie A, Hôpital Arnaud de Villeneuve, CHU Montpellier, France.
Albat
B
B
Messner-Pellenc
P
P
Hager
F X
FX
Mariottini
C J
CJ
Macia
J C
JC
Gagnol
J P
JP
Grolleau-Raoux
R
R
D000368:Aged; D000784:Aortic Dissection / Q000000981:diagnostic imaging / Q000601:surgery*; D001011:Aorta / Q000293:injuries*; D017545:Aortic Aneurysm, Thoracic / Q000000981:diagnostic imaging / Q000601:surgery; D001027:Aortography; D017023:Coronary Angiography / Q000295:instrumentation*; D005260:Female; D006801:Humans; D011183:Postoperative Complications / Q000000981:diagnostic imaging; D012850:Sinus of Valsalva / Q000000981:diagnostic imaging / Q000293:injuries* / Q000601:surgery; D013536:Suture Techniques