Successful endovascular treatment of iatrogenic coronary artery dissection extending into the entire ascending aorta.
Iatrogenic acute dissection of the ascending aorta during percutaneous coronary intervention occurs rarely. Localized aortic dissections may be treated by sealing the entry with a coronary stent. However, extensive dissections may require a surgical intervention. A case of iatrogenic coronary dissection with extensive propagation into the ascending aorta during angioplasty of the right coronary artery is presented. The aortic dissection was successfully treated by stenting at the right coronary artery ostium. Follow-up computed tomography and coronary angiography showed complete resolution of aortic dissection.
Park
Il-Woon
IW
Cardiology Division, Department of Internal Medicine, Myongji Hospital, Kwandong University College of Medicine, Goyang, Korea.
Min
Pil-Ki
PK
Cho
Deok-Kyu
DK
Byun
Ki-Hyun
KH
D000368:Aged; D000784:Aortic Dissection / Q000209:etiology / Q000628:therapy*; D015906:Angioplasty, Balloon, Coronary / Q000379:methods*; D017545:Aortic Aneurysm, Thoracic / Q000209:etiology / Q000628:therapy*; D006328:Cardiac Catheterization / Q000009:adverse effects* / Q000379:methods; D017023:Coronary Angiography / Q000379:methods; D023921:Coronary Stenosis / Q000000981:diagnostic imaging / Q000628:therapy*; D003331:Coronary Vessels / Q000293:injuries; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D007049:Iatrogenic Disease; D018570:Risk Assessment; D012720:Severity of Illness Index; D015607:Stents; D016896:Treatment Outcome