Key result
Surgical management with ascending aorta replacement and left coronary ostial repair using an autologous aortic wall ring-shaped patch successfully treated iatrogenic aortic dissection.
Case Report (n=1)
This case report demonstrates a successful surgical technique using an autologous aortic wall ring-shaped patch for repairing iatrogenic left main coronary artery and aortic root dissection.
Should not yet change practice for iatrogenic aortic dissection; leaves open the role of autologous patch repair pending larger series.
Iatrogenic left main coronary artery and aortic root dissection are rare complications during coronary catheterization. A case of catheter-induced left main coronary artery dissection with subsequent retrograde progression into the ascending aorta wall is reported. The patient was surgically managed with an ascending aorta replacement and left coronary ostial repair with an autologuos aortic wall ring-shaped patch in the paraostial position in order to seal the intimal tear.
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Barbero et al. (2014) conducted a case report in Iatrogenic left main coronary artery and aortic root dissection (n=1). Ascending aorta replacement and left coronary ostial repair with an autologous aortic wall ring-shaped patch was evaluated. Surgical management with ascending aorta replacement and left coronary ostial repair using an autologous aortic wall ring-shaped patch successfully treated iatrogenic aortic dissection.
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