Key result
Emergency off-pump CABG successfully treats rare retrograde aortic dissection complicating attempted PTCA.
Case Report (n=1)
Emergency off-pump CABG can be a successful treatment strategy for localized aortocoronary dissection complicating PTCA, avoiding the need for aortic replacement.
May warrant consideration as bailout for PTCA-induced aortic dissection; single case leaves open need for broader evidence.
Retrograde dissection of the aorta is a rare but potentially life threatening complication of percutaneous coronary intervention. We describe a case of retrograde aortic dissection, which occurred during attempted percutaneous transluminal coroanary angioplasty (PTCA) of chronically occluded left anterior descending artery (LAD). Emergency coronary artery bypass grafting (CABG) was performed to revascularise LAD distal to the site of entry tear with pedicled left internal mammary artery (LIMA). This was achieved off-pump. Ascending aorta was not replaced as the dissection was localised.
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Vinayak Bapat (2003) conducted a case report in Retrograde aortic dissection during PTCA (n=1). Off-pump coronary artery bypass grafting (CABG) was evaluated. Emergency off-pump coronary artery bypass grafting successfully treated a rare retrograde aortic dissection that occurred during attempted percutaneous transluminal coronary angioplasty.
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