Key result
Conservative management using transesophageal echocardiography was successful in two patients with localized acute aortic dissection complicating coronary angioplasty after sealing the entry door.
Why the study?
Can localized acute aortic dissection complicating coronary angioplasty be managed conservatively using transesophageal echocardiography?
Case Report (n=2)
Can localized acute aortic dissection complicating coronary angioplasty be managed conservatively using transesophageal echocardiography?
Answers are grounded in this paper and cite their sources.
Localized acute aortic dissection complicating coronary angioplasty can be managed conservatively using transesophageal echocardiography after sealing the entry door.
A localized acute aortic dissection was produced in 2 patients, complicating coronary angioplasty. In both cases a coronary dissection provided the entry door, with subsequent retrograde progression of the dissection into the aortic root. After sealing the entry door, both patients could be managed conservatively using transesophageal echocardiography to accurately define the location of the intimal flap and to rule out dissection progression.
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Alfonso et al. (1997) conducted a case report in Aortic dissection complicating coronary angioplasty (n=2). Conservative management guided by transesophageal echocardiography was evaluated on Clinical management and progression of dissection. Conservative management using transesophageal echocardiography was successful in two patients with localized acute aortic dissection complicating coronary angioplasty after sealing the entry door.
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