title: Iatrogenic bidirectional dissection of the right coronary artery and the ascending aorta: the worst nightmare for an interventional cardiologist.
abstract: Although rare, iatrogenic aortocoronary dissection is one of the complications most dreaded by the interventional cardiologist. If not managed promptly, it can have redoubted and serious consequences. Herein, we present the case of a 70 year-old woman who was treated by stenting of the second segment of the right coronary artery (RCA) for recurrent angina but, unfortunately, the procedure was complicated by anterograde dissection of the RCA with a simultaneous retrograde propagation to the proximal part of the ascending aorta. Successful stenting of the entry point was able to recuperate the RCA and to limit the retrograde propagation to the ascending aorta, but there was an extension of the dissection to the aortic valve leaflets resulting in a massive aortic insufficiency. Therefore, surgical aortic valve replacement with prosthetic tube graft was performed [corrected].
authors.affiliation: Department of Cardiology, CHU de Caen, Caen, France. ziad_dahdouh@hotmail.com
authors.forename: Ziad
authors.initials: Z
authors.lastname: Dahdouh
authors.forename: Vincent
authors.initials: V
authors.lastname: Roule
authors.forename: Thérèse
authors.initials: T
authors.lastname: Lognoné
authors.forename: Rémi
authors.initials: R
authors.lastname: Sabatier
authors.forename: Mathieu
authors.initials: M
authors.lastname: Bignon
authors.forename: Guillaume
authors.initials: G
authors.lastname: Malcor
authors.forename: Adrien
authors.initials: A
authors.lastname: Lemaitre
authors.forename: Katrien
authors.initials: K
authors.lastname: Blanchart
authors.forename: Julien
authors.initials: J
authors.lastname: Wain-Hobson
authors.forename: Vladimir
authors.initials: V
authors.lastname: Saplacan
authors.forename: Fabio
authors.initials: F
authors.lastname: Cutone
authors.forename: Dimitrios
authors.initials: D
authors.lastname: Buklas
authors.forename: Calin
authors.initials: C
authors.lastname: Ivascau
authors.forename: Massimo
authors.initials: M
authors.lastname: Massetti
authors.forename: Gilles
authors.initials: G
authors.lastname: Grollier