Conservative Treatment of Iatrogenic Ascending Aortic Hematoma Post-Rotablator Coronary Procedure

Doutriaux, M; Pariente, Benjamin; Zahnan, Jad; Marchand, X.

doi:10.1055/s-0040-1715431

Cited by 2 publications

(1 citation statement)

References 10 publications

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“…Iatrogenic aortic dissection, related to cardiac catheterization, is a rare condition with an incidence of 0.07% in diagnostic procedures and up to 0.19% in acute coronary syndrome (ACS) and therapeutic procedures 2,3 . Most cases reported in the literature are related to percutaneous treatment of chronic total occlusions located in proximal segments of the right coronary artery (RCA) 4,5 .…”

Section: Introductionmentioning

confidence: 99%

Dissecção de aorta tipo A durante intervenção coronariana terapêutica na síndrome coronariana aguda: relato de caso

Janella

Gouveia

Mendonça

et al. 2022

HSJ

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Iatrogenic aortic dissection during coronary interventions is a rare complication and has heterogeneous management in the reviewed literature. We report a case of acute aortic syndrome of traumatic etiology, during a percutaneous coronary procedure, with its management, intra-hospital evolution, and one-year follow-up. A 65-year-old female who, during a percutaneous coronary intervention, presented an endothelium trauma of the left main artery's aorta-ostial transition by the tip of the guide catheter, leading to aortic dissection and occlusion of the left main artery with hemodynamic deterioration of the patient. The left main artery's flow was restored with drug-eluting stent implantation leading to a successful sealing of the false lumen with consequent hemodynamic stabilization. Immediate post-procedure transthoracic echocardiography showed a competent aortic valve. The patient evolved favorably and remains asymptomatic after one year.

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