Management of Iatrogenic Aortic Dissections During Percutaneous Right Coronary Artery Interventions

Gennari, Marco; Mastroiacovo, Giorgio; Polvani, Gianluca; Fabbiocchi, Franco; Agrifoglio, Marco

doi:10.21470/1678-9741-2020-0570

Brasil

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CASE REPORT • Braz. J. Cardiovasc. Surg. 37 (04) • 2022 • https://doi.org/10.21470/1678-9741-2020-0570 linkcopy

Management of Iatrogenic Aortic Dissections During Percutaneous Right Coronary Artery Interventions

Authorship SCIMAGO INSTITUTIONS RANKINGS

ABSTRACT

Iatrogenic acute aortic dissections during percutaneous coronary interventions are an extremely rare but potentially life-threatening complication, occurring in less than 0.02% of transcatheter procedures. We report three patients with different characteristics suffering from iatrogenic aortic dissection during percutaneous coronary intervention successfully treated with an emergency open-heart surgery. A conservative strategy should be pursuit only in small, localized lesions.

Keywords: Coronary Angiography; Iatrogenic Aortic Dissection; Ascending Aorta Replacement; Coronary Artery Bypass.

Abbreviations, Acronyms & Symbols
CABG	= Coronary artery bypass grafting
CPB	= Cardiopulmonary bypass
CT	= Computed tomography
DES	= Drug-eluting stents
ECMO	= Extracorporeal membrane oxygenation
IAAD	= Iatrogenic acute aortic dissection
PCI	= Percutaneous coronary interventions
PTCA	= Percutaneous transluminal coronary angioplasty
RCA	= Right coronary artery
STEMI	= ST-elevation myocardial infarction

Authors’ Roles & Responsibilities
MG	Substantial contributions to the conception of the work; drafting the work; final approval of the version to be published
GM	Substantial contributions to the acquisition of data for the work; final approval of the version to be published
GP	Final approval of the version to be published
FF	Final approval of the version to be published
MA	Final approval of the version to be published

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