Int J Cardiol. 2009 Feb 6;132(1):e20-2. doi: 10.1016/j.ijcard.2007.07.104. Epub 2007 Nov 8.
Iatrogenic aortocoronary dissection is a rare but devastating complication of percutaneous coronary interventions. The authors present the case of a 45 years old woman admitted for anginal chest pain. She underwent coronary angiography and developed complete anterograde dissection of the right coronary artery simultaneously with retrograde extensive propagation to the ascending aorta. Failure to attempt stenting because of altered hemodynamics and intractable chest pain prompted an emergent bypass surgery with treatment of the aortic dissection. Causes and modalities of treatment of iatrogenic aortocoronary dissections are discussed.
医源性冠状动脉夹层是经皮冠状动脉介入治疗的一种罕见但严重的并发症。作者报告了一例 45 岁女性因心绞痛胸痛入院的病例。她接受了冠状动脉造影检查，右冠状动脉发生完全性顺行夹层，同时逆行广泛扩展到升主动脉。由于血流动力学改变和难以控制的胸痛，未能尝试支架置入，促使紧急旁路手术治疗主动脉夹层。讨论了医源性冠状动脉夹层的病因和治疗方式。
