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Iatrogenic aortocoronary dissection: the case for immediate aortoostial stenting.医源性主动脉冠状动脉夹层：即刻主动脉开口支架置入的病例
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Iatrogenic coronary artery dissections extending into and involving the aortic root.医源性冠状动脉夹层延伸至并累及主动脉根部。
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医源性急性A型主动脉夹层的早期自发缓解

Early Spontaneous Resolution of an Iatrogenic Acute Type A Aortic Dissection.

作者信息

Zafar Mohammad A, Pang Philip Y K, Henry Glen A, Ziganshin Bulat A, Tranquilli Maryann, Elefteriades John A

机构信息

Aortic Institute at Yale-New Haven Hospital, Yale University School of Medicine, New Haven, Connecticut, USA.

Department of Cardiothoracic Surgery, National Heart Centre, Singapore.

出版信息

Aorta (Stamford). 2016 Dec 1;4(6):235-239. doi: 10.12945/j.aorta.2016.16.067. eCollection 2016 Dec.

DOI:10.12945/j.aorta.2016.16.067
PMID:28516101
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC5425262/
Abstract

Acute aortic dissection is a rare but devastating complication during cardiac catheterization. We present the case of an elderly female who incurred a Stanford Type A/DeBakey Type I acute aortic dissection extending into the arch vessels and descending aorta likely occurring during right coronary artery engagement for angioplasty. The patient was treated successfully by immediately sealing the entrance of the dissection via the placement of a stent and anti-impulse therapy. Follow-up computed tomography scan showed complete resolution of the dissection within one month.

摘要

急性主动脉夹层是心脏导管插入术中一种罕见但极具破坏性的并发症。我们报告了一例老年女性病例，该患者发生了斯坦福A型/德巴基I型急性主动脉夹层，累及弓部血管和降主动脉，可能发生在右冠状动脉介入血管成形术期间。通过立即放置支架封闭夹层入口并进行抗冲击治疗，该患者得到了成功治疗。随访计算机断层扫描显示，夹层在一个月内完全消退。