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Iatrogenic Aortocoronary Dissection During Coronary Intervention: A Case Series.
Catheter Cardiovasc Interv
November 2024
Cardiology Department, John Hunter Hospital, Newcastle, New South Wales, Australia.
Iatrogenic aortocoronary dissection (IAD) during percutaneous coronary intervention (PCI) is an uncommon and potentially life-threatening complication. Extension of dissection to the ascending aorta, despite early surgical management, carries a high morbidity and mortality risk. Depending on the severity of dissection, the approach to management ranges from monitoring to surgical intervention; more extensive dissections into the ascending aorta, typically more than 40 mm above the coronary ostium, are considered an indication for surgery.
View Article and Find Full Text PDFIatrogenic aortocoronary arteriovenous fistula after coronary artery bypass grafting detected with transthoracic echocardiography.
J Med Ultrason (2001)
October 2024
Division of Cardiology, Department of Medicine, Showa University School of Medicine, 1-5-8 Hatanodai Shinagawa-Ku, Tokyo, 142-8555, Japan.
Iatrogenic Aorto-Coronary Dissection: A Rare Complication With Fatal Prognosis.
Cureus
May 2024
Cardiology, Piedmont Heart Institute, Fayetteville, USA.
Iatrogenic aorto-coronary dissection (IACD) is a rare complication of interventional and surgical cardiac procedures, with a very high mortality burden. Here, we report the case of a 71-year-old female with a past medical history of paroxysmal atrial fibrillation, mild to moderate aortic insufficiency, hypertension, and hyperlipidemia, who presented with classic anginal symptoms and underwent a cardiac catheterization, during which she suffered Iatrogenic right coronary artery (RCA) dissection and ascending aortic dissection resulting in sudden death. IACD is a rare complication, with a fatal prognosis.
View Article and Find Full Text PDFAssessing the impact of tear direction in coronary artery dissection on thrombosis development: A hemodynamic computational study.
Comput Methods Programs Biomed
June 2024
Department of Computer Science and Technology, Southwest University of Science and Technology, No. 59, middle of Qinglong Avenue, Fucheng District, Mianyang, 621010, China. Electronic address:
Objective: Iatrogenic coronary artery dissection is a complication of coronary intimal injury and dissection due to improper catheter manipulation. The impact of tear direction on the prognosis of coronary artery dissection (CAD) remains unclear. This study examines the hemodynamic effects of different tear directions (transverse and longitudinal) of CAD and evaluates the risk of thrombosis, rupture and further dilatation of CAD.
View Article and Find Full Text PDFSevere right ventricular infarction due to iatrogenic aortocoronary dissection successfully treated by surgical repair and extracorporeal membrane oxygenation.
J Surg Case Rep
January 2024
Department of Cardiovascular Surgery, IMS Katsushika Heart Center, 3-30-1 Horikiri, Katsushika, Tokyo 124-0006, Japan.
Iatrogenic aortocoronary dissection (IACD) is a rare but potentially fatal complication of percutaneous coronary intervention or coronary angiography (CAG). In particular, if the condition of the patient is complicated by cardiogenic shock and right ventricular (RV) dysfunction, the mortality rate is high. Herein, we report the case of an 85-year-old woman with IACD who underwent elective CAG of the right coronary artery complicated with cardiogenic shock due to RV infarction.
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