Aortic dissection, a complication during successful angioplasty of chronic total occlusion of the right coronary artery, was treated conservatively

Cardiovasc J Afr. 2012 May 12;23(4):e11-3. doi: 10.5830/CVJA-2011-050.

Abstract

Aortic dissection is an uncommon but potentially lethal complication that can occur during the engagement of a guiding catheter. We report a case of a 59-year-old woman with acute aortic dissection due to percutaneous coronary intervention. This resulted in a retrograde extension of the dissection into the proximal part of the ascending aorta. With haemodynamic stability, we decided to treat the aortic dissection medically. As a result, a complete resolution of the aortic dissection was documented by coronary angiography and the follow-up computed tomography scan.

Publication types

  • Case Reports

MeSH terms

  • Angioplasty, Balloon, Coronary / adverse effects*
  • Aortic Aneurysm, Thoracic / diagnosis
  • Aortic Aneurysm, Thoracic / etiology*
  • Aortic Aneurysm, Thoracic / therapy
  • Aortic Dissection / diagnosis
  • Aortic Dissection / etiology*
  • Aortic Dissection / therapy
  • Coronary Angiography
  • Coronary Stenosis / diagnostic imaging
  • Coronary Stenosis / surgery*
  • Female
  • Follow-Up Studies
  • Humans
  • Intraoperative Complications*
  • Middle Aged
  • Tomography, X-Ray Computed