Fatal and Non-fatal Spontaneous and Iatrogenic Acute Aortic Dissection type A: Report of two cases

Abstract

Abstract:Aim: To describe iatrogenic and spontaneous presentations of acute aortic dissection (AAD) type A. Method: We report two cases of male patients with iatrogenic non-fatal and spontaneous fatal acute aortic dissection type A. Results: Two male patients are discussed with different aetiology of acute aortic dissection type A. The first patient of 68-years-old, having progressive angina pectoris developed iatrogenic acquired AAD secondary to diagnostic procedure of coronary angiography. Emergent surgical procedure was performed. The second patient of 66-years-old, with known history of aortic dissection type B, presented with acute chest and back pain. The condition was misdiagnosed for acute pulmonary embolism followed by sudden death. Autopsy findings are discussed. Conclusions: Iatrogenic acute aortic dissection type A is a rare complication of routine coronary angiography which requires emergent surgical intervention. Spontaneous AAD may be erroneously seen for acute pulmonary embolism