Maiello Luigi, La Marchesina Ugo, Presbitero Patrizia, Faletra Francesco
Echocardiography Laboratory, Istituto Clinico Humanitas Via Manzoni, 56 20089 Rozzano, MI.
Ital Heart J. 2003 Jun;4(6):419-22.
Iatrogenic acute dissection of the ascending aorta following coronary angiography and percutaneous intervention is rare. Localized aortic dissections have been treated by sealing the entry with a coronary stent. Extensive dissections may require a surgical intervention. We describe a coronary dissection with retrograde extension to the ascending aorta that occurred during angioplasty of the right coronary artery. The extensive dissection, which was limited to the ascending aorta, was successfully treated by stenting of the right coronary artery and monitoring the aortic dissection by means of transesophageal echocardiography.
冠状动脉造影和经皮介入术后发生医源性升主动脉急性夹层分离较为罕见。局限性主动脉夹层可通过冠状动脉支架封闭入口进行治疗。广泛的夹层可能需要手术干预。我们描述了一例在右冠状动脉血管成形术期间发生的冠状动脉夹层并逆行延伸至升主动脉的病例。仅局限于升主动脉的广泛夹层通过右冠状动脉支架置入并经食管超声心动图监测主动脉夹层而成功治疗。
