Key result
Emergency aortic and coronary repair successfully resolves iatrogenic aortocoronary dissection.
Why the study?
Iatrogenic coronary artery and aortic dissections are rare, potentially fatal complications of PCI lacking definite treatment guidelines.
Population
A 50-year-old patient with iatrogenic RCA and type A aortic dissection after PCI
Design
Case report
Follow-up
Two weeks
Authors
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Supports emergency surgery in severe iatrogenic aortocoronary dissection complicating PCI; leaves open optimal strategies pending larger studies.
Case Report (n=1)
This case demonstrates that emergency surgical repair can be a successful treatment strategy for severe iatrogenic coronary and aortic dissection complicating PCI.
Yu et al. (2020) conducted a case report in Iatrogenic dissection of the right coronary artery and type A aortic dissection (n=1). Emergency surgery (right coronary artery ostium repair, aortic valvoplasty, ascending aorta replacement, and aortic arch descending stent implantation) was evaluated on Surgical success and hospital discharge. Emergency surgery comprising right coronary artery ostium repair, aortic valvoplasty, ascending aorta replacement, and stent implantation successfully treated iatrogenic aortocoronary dissection.
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