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Review
. 2017 Jan-Mar;13(1):37-38.
doi: 10.14797/mdcj-13-1-37.

A Case of Iatrogenic Aortic Intramural Hematoma

Kamil Muhyieddeen  1 , Arang Samim  1 , Michah Roberts  1 , Sundararajan Srikanth  1
Affiliations
Review

A Case of Iatrogenic Aortic Intramural Hematoma

Kamil Muhyieddeen et al. Methodist Debakey Cardiovasc J. 2017 Jan-Mar.

Abstract

Iatrogenic aortic dissection during percutaneous coronary intervention is a rare but serious complication. Both conservative and surgical approaches have been proposed as management strategies. We describe a case of an 87-year-old female who presented with an acute coronary syndrome complicated by the development of an ascending aortic dissection during percutaneous intervention, and we provide a brief review of the literature.

Keywords: iatrogenic aortic dissection; percutaneous coronary intervention.

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Conflict of interest statement

The authors have completed and submitted the Methodist DeBakey Cardiovascular Journal Conflict of Interest Statement and none were reported.

Figures

Figure 1.
Figure 1.
Coronary angiogram showing a proximal right coronary artery (RCA) occlusion. See online video 1.
Figure 2.
Figure 2.
Percutanous intervention with stent deployment in the proximal right coronary artery. See online video 2.
Figure 3.
Figure 3.
Contrast injection after stent deployment resulting in acute dissection of the right coronary cusp with extension into the proximal ascending aorta. See online video 3.
Figure 4.
Figure 4.
Transesophageal echocardiogram showing an ascending aortic intramural hematoma (red arrows).
Figure 5.
Figure 5.
Computed tomography (CT) scan showed a small aortic intimal tear (white arrow) with an associated intramural hematoma (red arrow).
See this image and copyright information in PMC

References

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MeSH terms