title: Treatment optimization of aortocoronary dissection as a complication after heart catheterization using coronary computerized tomographic angiography.
abstract: We present the case of a 71-year-old patient with a chronic total occlusion of the right coronary artery (RCA) resulting in a retrograde aortic dissection as a complication of coronary intervention. Acute therapy consisted of coronary stent implantation into the proximal RCA to cover the dissection's entry. One day after, computed tomography-guided angiography revealed a progression of the intramural aortic hematoma with a residual dissection at the RCA ostium. Recurrent coronary angiography was performed to implant another stent covering the entry. Imaging at follow-up demonstrated complete coverage of the Dunning dissection and regression of the intramural aortic hematoma.
authors.affiliation: First Department of Medicine, University Medical Centre Mannheim, University of Heidelberg, Mannheim, Germany. Electronic address: stefan.baumann@umm.de.
authors.forename: Stefan
authors.initials: S
authors.lastname: Baumann
authors.affiliation: First Department of Medicine, University Medical Centre Mannheim, University of Heidelberg, Mannheim, Germany.
authors.forename: Aydin
authors.initials: A
authors.lastname: Huseynov
authors.affiliation: First Department of Medicine, University Medical Centre Mannheim, University of Heidelberg, Mannheim, Germany.
authors.forename: Michael
authors.initials: M
authors.lastname: Behnes
authors.affiliation: First Department of Medicine, University Medical Centre Mannheim, University of Heidelberg, Mannheim, Germany.
authors.forename: Daniel
authors.initials: D
authors.lastname: Frambach
authors.affiliation: First Department of Medicine, University Medical Centre Mannheim, University of Heidelberg, Mannheim, Germany.
authors.forename: Christian
authors.initials: C
authors.lastname: Böcker
authors.affiliation: First Department of Medicine, University Medical Centre Mannheim, University of Heidelberg, Mannheim, Germany.
authors.forename: Tobias
authors.initials: T
authors.lastname: Becher
authors.affiliation: Department of Clinical Radiology, University Medical Center Mannheim, University of Heidelberg, Mannheim, Germany.
authors.forename: Thomas
authors.initials: T
authors.lastname: Henzler
authors.affiliation: First Department of Medicine, University Medical Centre Mannheim, University of Heidelberg, Mannheim, Germany.
authors.forename: Ralf
authors.initials: R
authors.lastname: Lehmann
authors.affiliation: First Department of Medicine, University Medical Centre Mannheim, University of Heidelberg, Mannheim, Germany.
authors.forename: Martin
authors.initials: M
authors.lastname: Borggrefe
authors.affiliation: First Department of Medicine, University Medical Centre Mannheim, University of Heidelberg, Mannheim, Germany.
authors.forename: Ibrahim
authors.initials: I
authors.lastname: Akin
mesh_terms: D000368:Aged; D001011:Aorta / Q000293:injuries*; D001018:Aortic Diseases / Q000000981:diagnostic imaging* / Q000628:therapy; D001027:Aortography; D006328:Cardiac Catheterization / Q000009:adverse effects*; D017023:Coronary Angiography; D054059:Coronary Occlusion / Q000628:therapy; D054855:Drug-Eluting Stents; D006406:Hematoma / Q000000981:diagnostic imaging* / Q000628:therapy; D006801:Humans; D008297:Male; D062645:Percutaneous Coronary Intervention / Q000009:adverse effects*; D014057:Tomography, X-Ray Computed