Friedman Matthew, Gollogly Armin, Pena Enrique, Johnson Jennifer, Dulani Tina
North Shore University Hospital-Northwell Health, Department of Emergency Medicine, Manhasset, New York.
Long Island Jewish Medical Center-Northwell Health, Department of Emergency Medicine, New Hyde Park, New York.
Clin Pract Cases Emerg Med. 2019 Oct 14;3(4):376-379. doi: 10.5811/cpcem.2019.7.43287. eCollection 2019 Nov.
Iatrogenic aortic dissection (IAD) status-post-cardiac catheterization is a rare complication often isolated to the proximal aorta. This is a case of IAD isolated to the distal aorta in a 41-year-old female who presented to the emergency department with right leg pain after undergoing three cardiac catheterizations. The diagnosis of IAD was made upon discovery of an intimal flap in the distal aorta and femoral artery while performing a point-of-care ultrasound to evaluate for deep vein thrombosis.
医源性主动脉夹层（IAD）发生于心脏导管插入术后，是一种罕见的并发症，通常局限于主动脉近端。这是一例41岁女性发生于主动脉远端的医源性主动脉夹层病例，该患者在接受三次心脏导管插入术后因右腿疼痛就诊于急诊科。在进行即时超声检查以评估深静脉血栓形成时，发现主动脉远端和股动脉存在内膜瓣，从而确诊为医源性主动脉夹层。
