Skip to main page content
U.S. flag

An official website of the United States government

Dot gov

The .gov means it’s official.
Federal government websites often end in .gov or .mil. Before sharing sensitive information, make sure you’re on a federal government site.

Https

The site is secure.
The https:// ensures that you are connecting to the official website and that any information you provide is encrypted and transmitted securely.

Access keys NCBI Homepage MyNCBI Homepage Main Content Main Navigation
. 2018 Dec;6(6):142-144.
doi: 10.1055/s-0039-1683956. Epub 2019 Apr 24.

Spontaneous Early Resolution of an Iatrogenic Type A Aortic Dissection Following Coronary Angiography

Yavuzer Koza  1 , Uğur Kaya  2 , Hakan Taş  1 , Enise Armagan Koza  3
Affiliations

Spontaneous Early Resolution of an Iatrogenic Type A Aortic Dissection Following Coronary Angiography

Yavuzer Koza et al. Aorta (Stamford). 2018 Dec.

Abstract

A 74-year-old man was admitted with the diagnosis of non-ST-elevation myocardial infarction. During right coronary angiography, a coronary artery dissection extending into the proximal ascending aorta was noticed without hemodynamic compromise. Immediate computed tomography angiography showed no evidence of dissection in the ascending aorta. The patient remained hemodynamically stable with medical therapy alone. This case report highlights the importance of medical therapy in patients with uncomplicated iatrogenic aortic dissection.

PubMed Disclaimer

Conflict of interest statement

The authors declare no conflict of interest related to this article.

Figures

Fig. 1
Fig. 1
(A) Origin of the dissection at the proximal right coronary artery. (B) Right anterior oblique (RAO) view showing the extension of the dissection to ascending aorta.
Fig. 2
Fig. 2
Transverse (A) , axial (B) , axial volume rendered (C) , and sagittal (D) Computed tomographic images immediately after coronary angiography showing no evidence of dissection in the ascending aorta.
Fig. 3
Fig. 3
Intraoperative image of the ascending aorta.
See this image and copyright information in PMC

Similar articles

See all similar articles

Cited by

References

    1. Boukhris M, Tomasello S D, Marzà F, Azzarelli S, Galassi A R. Iatrogenic aortic dissection complicating percutaneous coronary intervention for chronic total occlusion. Can J Cardiol. 2015;31(03):320–327. - PubMed
    1. Carter A J, Brinker J A. Dissection of the ascending aorta associated with coronary angiography. Am J Cardiol. 1994;73(12):922–923. - PubMed
    1. Santos M, Luz A, Silveira J et al.Aortocoronary dissection complicating percutaneous angioplasty. Rev Port Cardiol. 2011;30(09):745–747. - PubMed
    1. Sohrabi B, Kazemi B, Aslanabadi N. Percutaneous treatment of catheter-induced dissection of the right coronary artery and adjacent aortic wall. J Invasive Cardiol. 2007;19(07):E199–E202. - PubMed
    1. Dunning D W, Kahn J K, Hawkins E T, O'Neill W W. Iatrogenic coronary artery dissections extending into and involving the aortic root. Catheter Cardiovasc Interv. 2000;51(04):387–393. - PubMed