Key result
Surgical graft repair achieves uneventful recovery in delayed iatrogenic aortic dissection after PCI.
Why the study?
Acute iatrogenic aortic dissection following percutaneous coronary intervention is a rare and sinister complication where delayed diagnosis significantly increases mortality.
Case Report (n=1)
No
Cardiac computed tomography is a crucial imaging modality for identifying delayed and initially missed iatrogenic aortic dissections following percutaneous coronary intervention.
Answers are grounded in this paper and cite their sources.
May support cardiac CT for detecting delayed post-PCI aortic dissection; leaves open optimal management strategies.
Acute iatrogenic aortic dissection following percutaneous coronary intervention is a rare but sinister cause of post-procedure morbidity and mortality. Delayed diagnosis increases the mortality significantly. We present a case of a 52-year-old male who presented with an iatrogenic aortic dissection following percutaneous coronary intervention for an inferior ST-elevation myocardial infarction. Although the diagnosis was initially missed by conventional imaging for a period of 5 months, it was later diagnosed assisted by cardiac computed tomography. The patient underwent aortic repair with a Dacron graft and had an uneventful recovery. The case highlights the importance of early diagnosis and selection of appropriate imaging for this rare but serious iatrogenic sequel following percutaneous coronary intervention to minimize morbidity.
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Danushka et al. (2023) conducted a case report in Iatrogenic aortic dissection following percutaneous coronary intervention for inferior ST-elevation myocardial infarction (n=1). Surgical aortic repair with a 26-mm Dacron aortic graft was evaluated on Postoperative clinical recovery.
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