Park Il-Woon, Min Pil-Ki, Cho Deok-Kyu, Byun Ki-Hyun
Cardiology Division, Department of Internal Medicine, Myongji Hospital, Kwandong University College of Medicine, Goyang, Korea.
Can J Cardiol. 2008 Nov;24(11):857-9. doi: 10.1016/s0828-282x(08)70196-x.
Iatrogenic acute dissection of the ascending aorta during percutaneous coronary intervention occurs rarely. Localized aortic dissections may be treated by sealing the entry with a coronary stent. However, extensive dissections may require a surgical intervention. A case of iatrogenic coronary dissection with extensive propagation into the ascending aorta during angioplasty of the right coronary artery is presented. The aortic dissection was successfully treated by stenting at the right coronary artery ostium. Follow-up computed tomography and coronary angiography showed complete resolution of aortic dissection.
经皮冠状动脉介入治疗期间发生医源性升主动脉急性夹层极为罕见。局限性主动脉夹层可通过用冠状动脉支架封闭入口来治疗。然而,广泛的夹层可能需要手术干预。本文介绍了1例在右冠状动脉血管成形术期间发生医源性冠状动脉夹层并广泛蔓延至升主动脉的病例。通过在右冠状动脉开口处植入支架成功治疗了主动脉夹层。随访计算机断层扫描和冠状动脉造影显示主动脉夹层完全消退。