Successful Aorta-osteal Stenting after Iatrogenic Acute Type-A Aortic Dissection during Primary Percutaneous Coronary Intervention

Year 2014, Volume: 31 Issue: 4, 352 - 355, 01.10.2014

Adem Bekler Emine Gazi Ahmet Temiz Burak Altun Ali Özeren

Abstract

Background: Iatrogenic acute dissection of the ascending aorta following
coronary angiography and percutaneous intervention is rare.
This complication, if not managed urgently, can have critical results.
Case Report: We present the case of a 70 year-old woman who was
treated by primary percutaneous coronary intervention (PCI) of the
right coronary artery (RCA) for acute inferior myocardial infarction;
however, 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 heal the RCA and restrict the retrograde propagation to
the ascending aorta. The aortic dissection was monitored by means
of computerised tomography and the dissection repaired itself spontaneously
within a day.
Conclusion: Treatment of the aorta coronary dissection (ACD) by
urgent osteal stenting is a less invasive treatment compared with surgical
treatment in appropriate cases. We demonstrated that immediate
osteal stenting should be performed in ACD

Keywords

Acute myocardial infarction, aorto-coronary dissection, percutaneous coronary intervention

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