Key result
Conservative management followed by clampless surgical revascularization was successfully performed in a patient with a recent iatrogenic aortic dissection.
Case Report (n=1)
Clampless surgical revascularization can be successfully performed in a patient with a recently healed iatrogenic aortic dissection following conservative management.
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Suggests clampless surgical revascularization may be a feasible strategy after iatrogenic aortic dissection;.
Iatrogenic aortic dissection is an infrequent complication of cardiac catheterization (0.03-0.06%) associated with up to 19% of mortality at 30 days. It was reported to mostly occur when using a 6-Fr guiding catheter to cannulate the right coronary artery. This life-threatening complication usually requires early surgical management and close imaging monitoring and control of systolic blood pressure. This case report describes a patient with iatrogenic aortic dissection during cardiac catheterization in symptomatic coronary artery disease. Conservative management of the limited non-progressive aortic dissection was chosen followed by surgical revascularization with a clampless technique, despite the recent aortic injury.
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Blossier et al. (2017) conducted a case report in Iatrogenic aortic dissection during cardiac catheterization in symptomatic coronary artery disease (n=1). Conservative management followed by surgical revascularization with a clampless technique was evaluated. Conservative management followed by clampless surgical revascularization was successfully performed in a patient with a recent iatrogenic aortic dissection.
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