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Case Reports
. 2020 Jan;9(1):e47-e50.
doi: 10.1055/s-0040-1715431. Epub 2020 Oct 12.

Conservative Treatment of Iatrogenic Ascending Aortic Hematoma Post-Rotablator Coronary Procedure

Maxime Doutriaux  1 , Benjamin Pariente  1 , Jad Zahnan  1 , Xavier Marchand  1
Affiliations
Case Reports

Conservative Treatment of Iatrogenic Ascending Aortic Hematoma Post-Rotablator Coronary Procedure

Maxime Doutriaux et al. Thorac Cardiovasc Surg Rep. 2020 Jan.

Abstract

Background Aortic intramural hematoma due to coronary artery dissection is a rare and serious complication during percutaneous coronary intervention. Case Presentation A 78-year-old female patient was admitted for diagnostic coronarography in the context of stable angina. The coronarography showed an asymmetric and significate calcification in the ostium of the right coronary requiring Rotablator (Boston Scientific) procedure complicated by iatrogenic ascending aortic hematoma. After surgical advice, a conservative approach was decided with total hematoma resorption and recovery 1 week later. Conclusion With stable patient, conservative treatment may be suitable after aortic hematoma due to coronary dissection.

Keywords: aorta; aortic disease; imaging; percutaneous coronary intervention.

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Conflict of interest statement

Conflict of Interest None.

Figures

Fig. 1
Fig. 1
Diagnostic coronarography with calcification of ostio-proximal right coronary.
Fig. 2
Fig. 2
Contrast extravasation from ostial right coronary to ascending aorta after Rotablator device.
Fig. 3
Fig. 3
Ostial right coronary after stent implantation.
Fig. 4
Fig. 4
Initial no injected CT-scan: contrast extravasation from ostial right coronary to ascending aorta.
Fig. 5
Fig. 5
Day 7 with injected CT-scan: aortic hematoma resorption without contrast extravasation.
See this image and copyright information in PMC

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