Aortic dissection after angioplasty and stenting of an aortic coarctation: detection by intravascular ultrasonography but not transesophageal echocardiography.
In this case report, an iatrogenic dissection of the descending aorta occurred during balloon angioplasty and stenting of a recurrent coarctation. The dissection was not seen by transesophageal echocardiography, but intravascular ultrasonography, performed routinely during such procedures at this institution, identified the dissection and guided further therapeutic stent placement.
Panten
R R
RR
Department of Anesthesiology, The Heart Center, Duke University Medical Center, Durham, NC 27710, USA.
Harrison
J K
JK
Warner
J
J
Grocott
H P
HP
D000328:Adult; D000784:Aortic Dissection / Q000000981:diagnostic imaging* / Q000209:etiology; D015906:Angioplasty, Balloon, Coronary / Q000009:adverse effects*; D017545:Aortic Aneurysm, Thoracic / Q000000981:diagnostic imaging* / Q000209:etiology; D001017:Aortic Coarctation / Q000628:therapy*; D017548:Echocardiography, Transesophageal; D005260:Female; D006801:Humans; D012008:Recurrence; D015607:Stents / Q000009:adverse effects*; D018084:Ultrasonography, Interventional