Percutaneous treatment of simultaneous aortic dissection and pericardial tamponade during coronary intervention.
We report on a case of an unexpected dissection of the left main stem during percutaneous coronary intervention complicated by involvement of the ascending aorta with pericardial tamponade. After pericardial drainage, haemodynamic stabilization, and extensive stenting of the propagating dissection, safe discharge was possible without surgical intervention.
Porto
Italo
I
Mitchell
Andrew R J
AR
Selvanayagam
Joseph B
JB
Neubauer
Stefan
S
Banning
Adrian P
AP
D000784:Aortic Dissection / Q000175:diagnosis / Q000628:therapy*; D015906:Angioplasty, Balloon, Coronary; D001014:Aortic Aneurysm / Q000175:diagnosis / Q000628:therapy*; D019917:Blood Vessel Prosthesis Implantation; D002305:Cardiac Tamponade / Q000175:diagnosis / Q000628:therapy*; D017023:Coronary Angiography; D003324:Coronary Artery Disease / Q000175:diagnosis / Q000628:therapy; D004452:Echocardiography; D005260:Female; D006801:Humans; D008279:Magnetic Resonance Imaging; D008875:Middle Aged; D010496:Pericardium / Q000473:pathology / Q000601:surgery; D015607:Stents