Department of Cardiac Surgery, St Thomas' Hospital, London, UK.
Department of Cardiology, St Thomas' Hospital, London, UK.
Eur J Cardiothorac Surg. 2018 Feb 1;53(2):479-481. doi: 10.1093/ejcts/ezx315.
Iatrogenic acute aortic dissection during percutaneous coronary intervention is an extremely rare but critical complication. Although sealing the entry point with a coronary stent is an option to treat localized dissections, more extensive cases may require surgical intervention. We present a case of Type A aortic dissection that occurred during an angioplasty of a chronically occluded right coronary artery. Despite the extent of the dissection, a 'watch-and-wait' strategy was chosen, and repeated imaging a few days later revealed that the aorta had been remodelled to its normal anatomy.
经皮冠状动脉介入治疗过程中发生的医源性急性主动脉夹层是一种极其罕见但却非常严重的并发症。虽然使用冠状动脉支架封闭入口点是治疗局限性夹层的一种选择，但更广泛的病例可能需要手术干预。我们报告了一例在慢性闭塞的右冠状动脉球囊成形术中发生的 A 型主动脉夹层。尽管夹层范围广泛，但选择了“观察和等待”策略，几天后的重复成像显示主动脉已恢复正常解剖结构。
