Key result
Two male patients (ages 66 and 68) demonstrated that iatrogenic acute aortic dissection type A can complicate coronary angiography, and spontaneous cases may be misdiagnosed as pulmonary embolism.
Case Report (n=2)
Iatrogenic acute aortic dissection type A is a rare but critical complication of coronary angiography requiring emergent surgery, while spontaneous AAD can be misdiagnosed as pulmonary embolism with fatal consequences.
Alerts clinicians to rare iatrogenic AAD during angiography and PE misdiagnosis risk; leaves open incidence and prevention strategies.
Aim: To describe iatrogenic and spontaneous presentations of acute aortic dissection (AAD) type A. Method: We report two cases of male patients with iatrogenic non-fatal and spontaneous fatal acute aortic dissection type A. Results: Two male patients are discussed with different aetiology of acute aortic dissection type A. The first patient of 68-years-old, having progressive angina pectoris developed iatrogenic acquired AAD secondary to diagnostic procedure of coronary angiography. Emergent surgical procedure was performed. The second patient of 66-years-old, with known history of aortic dissection type B, presented with acute chest and back pain. The condition was misdiagnosed for acute pulmonary embolism followed by sudden death. Autopsy findings are discussed. Conclusions: Iatrogenic acute aortic dissection type A is a rare complication of routine coronary angiography which requires emergent surgical intervention. Spontaneous AAD may be erroneously seen for acute pulmonary embolism
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S.A.M. Said (2017) conducted a case report in Acute aortic dissection type A (n=2). Two male patients (ages 66 and 68) demonstrated that iatrogenic acute aortic dissection type A can complicate coronary angiography, and spontaneous cases may be misdiagnosed as pulmonary embolism.
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