title: Perioperative management for iatrogenic aortocoronary dissection during percutaneous coronary intervention.
abstract: Aortocoronary dissection is a rare but serious complication. We report the case of a 72-year-old female with angina. Percutaneous coronary intervention was performed for right coronary artery disease. Manipulation of the guiding catheter led to aortocoronary dissection. A drug-eluting stent was immediately implanted in the right coronary ostium to seal the entry of the dissection. Computed tomography (CT) showed ascending aortic dissection. The patient was observed without surgery. CT performed the following day and showed the contrast in the false lumen which had disappeared. Clinicians are more likely to avoid surgical treatment if stenting successfully seals the entry of the coronary dissection.
authors.affiliation: Department of Cardiovascular Surgery, Oita University, Faculty of Medicine, 1-1 Idaigaoka, Hasama-machi, Yufu, Oita, 879-5503, Japan. shutot@oita-u.ac.jp.
authors.forename: Takashi
authors.identifier: http://orcid.org/0000-0002-7150-4519
authors.initials: T
authors.lastname: Shuto
authors.affiliation: Department of Cardiovascular Surgery, Oita University, Faculty of Medicine, 1-1 Idaigaoka, Hasama-machi, Yufu, Oita, 879-5503, Japan.
authors.forename: Hirofumi
authors.initials: H
authors.lastname: Anai
authors.affiliation: Department of Cardiovascular Surgery, Oita University, Faculty of Medicine, 1-1 Idaigaoka, Hasama-machi, Yufu, Oita, 879-5503, Japan.
authors.forename: Jun
authors.initials: J
authors.lastname: Hirota
authors.affiliation: Department of Cardiovascular Surgery, Oita University, Faculty of Medicine, 1-1 Idaigaoka, Hasama-machi, Yufu, Oita, 879-5503, Japan.
authors.forename: Tomoyuki
authors.initials: T
authors.lastname: Wada
authors.affiliation: Department of Cardiovascular Surgery, Oita University, Faculty of Medicine, 1-1 Idaigaoka, Hasama-machi, Yufu, Oita, 879-5503, Japan.
authors.forename: Satoshi
authors.initials: S
authors.lastname: Takebayashi
authors.affiliation: Department of Cardiovascular Surgery, Oita University, Faculty of Medicine, 1-1 Idaigaoka, Hasama-machi, Yufu, Oita, 879-5503, Japan.
authors.forename: Shinji
authors.initials: S
authors.lastname: Miyamoto
mesh_terms: D000368:Aged; D000784:Aortic Dissection / Q000000981:diagnostic imaging / Q000209:etiology / Q000601:surgery*; D001014:Aortic Aneurysm / Q000000981:diagnostic imaging / Q000209:etiology / Q000601:surgery*; D019917:Blood Vessel Prosthesis Implantation; D003323:Coronary Aneurysm / Q000000981:diagnostic imaging / Q000209:etiology / Q000601:surgery*; D054059:Coronary Occlusion / Q000601:surgery*; D054855:Drug-Eluting Stents; D005260:Female; D006801:Humans; D007049:Iatrogenic Disease; D062645:Percutaneous Coronary Intervention / Q000009:adverse effects*; D012008:Recurrence
keywords: Aortocoronary dissection; Percutaneous coronary intervention; Stent