A CATASTROPHIC COMPLICATION : ASCENDING AORTIC DISSECTION DURING TRANSRADIAL CORONARY ANGIOGRAPHY

Yıl 2026, Cilt: 27 Sayı: 2 , 272 - 275 , 16.04.2026

Cem Korucu , Zafer Yalım , Uğur Aksu , Ömer Faruk Yılmaz

https://doi.org/10.18229/kocatepetip.1364551

https://izlik.org/JA88EX54HP

Öz

Although transradial coronary angiography is associated with a low risk of vascular complications, it is an invasive procedure that can lead to serious complications. Acute dissection of the ascending aorta during coronary angiography and percutaneous coronary intervention is a rare fatal complication. Most cases occur during cannulation of the coronary artery. Generally, limited dissections are treated with stenting or conservative treatment, while large dissections may require surgical intervention. In this case, we wanted to present a case of acute aortic dissection that progressed from the left subclavian artery to the ascending aorta and affected a large area in a patient who underwent left trans-radial diagnostic coronary angiography.

Anahtar Kelimeler

Aortic dissection , Interventıonal cardiology , Complıcatıon.

KATASTROFİK BİR TABLO : TRANSRADİAL KORONER ANJİYOGRAFİ SIRASINDA GELİŞEN ASENDAN AORT DİSEKSİYONU

https://izlik.org/JA88EX54HP

Öz

Transradial koroner anjiyografi düşük vasküler komplikasyon riski ile ilişkili olsa da ciddi komplikasyonlara yol açabilen invaziv bir girişimdir. Koroner anjiyografi ve perkütan koroner girişim sırasında çıkan aortanın akut diseksiyonu nadir görülen ölümcül bir komplikasyondur.Vakaların çoğu, koroner arterin kanülasyonu sırasında olmakta ve lokalize seyretmektedir. Genellikle sınırlı diseksiyonlar koroner arter ostiumunda intimanın stent ile kapatılması veya konservatif tedavi ile tedavi edilirken, geniş diseksiyonlar cerrahi müdahale gerektirebilir.Bu vakada sol radial yol ile tanısal koroner anjiyografi yapılan hastada gelişen sol subklavian arterden asendan aortaya ilerleyen ve geniş bir alanı etkileyen akut aort diseksiyonu olgusunu sunmak istedik.

Anahtar Kelimeler

Aort diseksiyonu , Girişimsel Kardiyoloji , Komplikasyon

Kaynakça

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