title: Aortic dissection, a complication during successful angioplasty of chronic total occlusion of the right coronary artery, was treated conservatively.
abstract: Aortic dissection is an uncommon but potentially lethal complication that can occur during the engagement of a guiding catheter. We report a case of a  59-year-old woman with acute aortic dissection due to percutaneous coronary intervention. This resulted in a retrograde extension of the dissection into the proximal part of the ascending aorta. With haemodynamic stability, we decided to treat the aortic dissection medically. As a result, a complete resolution of the aortic dissection was documented by coronary angiography and the follow-up computed tomography scan.
authors.affiliation: Department of Cardiology, Second Affiliated Hospital of Soochow University, SuZhou, China. C.shao@umcutrecht.nl
authors.forename: S
authors.initials: S
authors.lastname: Chunlai
authors.forename: P R
authors.initials: PR
authors.lastname: Stella
authors.forename: A
authors.initials: A
authors.lastname: Belkacemi
authors.forename: P
authors.initials: P
authors.lastname: Agostoni
mesh_terms: D000784:Aortic Dissection / Q000175:diagnosis / Q000209:etiology* / Q000628:therapy; D015906:Angioplasty, Balloon, Coronary / Q000009:adverse effects*; D017545:Aortic Aneurysm, Thoracic / Q000175:diagnosis / Q000209:etiology* / Q000628:therapy; D017023:Coronary Angiography; D023921:Coronary Stenosis / Q000000981:diagnostic imaging / Q000601:surgery*; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D007431:Intraoperative Complications; D008875:Middle Aged; D014057:Tomography, X-Ray Computed