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Case Reports
. 2016 Dec 1;4(6):226-228.
doi: 10.12945/j.aorta.2016.16.009. eCollection 2016 Dec.

Spontaneous Regression of a Large Iatrogenic Dissection of the Ascending Aorta

Aurélien Roumy  1 , Matthias Kirsch  1 , René Prêtre  1 , Lars Niclauss  1
Affiliations
Case Reports

Spontaneous Regression of a Large Iatrogenic Dissection of the Ascending Aorta

Aurélien Roumy et al. Aorta (Stamford). .

Abstract

A 74-year-old woman was admitted for right coronary angioplasty. During the procedure, she complained about chest pain, and contrast injection showed an iatrogenic dissection of the ascending aorta. A contrast computed tomography (CT) scan confirmed the diagnosis via visualization of a large non-circulating false lumen, which involved nearly the entire ascending aorta. The patient remained hemodynamically stable and asymptomatic while receiving medical therapy alone. Another CT scan performed 3 days later showed complete regression of the false lumen. This case suggests that uncomplicated iatrogenic dissection of the ascending aorta, even when large, may be managed successfully by medical therapy.

Keywords: Aorta; Aortic root; Coronarography; Coronary artery; Iatrogenic Dissection; Intramural hematoma.

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Figures

Figure 1.
Figure 1.
Panel A. Origin of the iatrogenic dissection just above the right coronary ostia (arrow). Panel B. Stagnation of contrast agent in the false lumen.
Figure 2.
Figure 2.
Panel A. Initial extension of the dissection with large non-circulating false lumen (arrows). Panel B. Spontaneous regression of the false lumen 3 days later.
See this image and copyright information in PMC

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