经皮右冠状动脉介入治疗期间医源性主动脉夹层的处理。

Department of Cardiovascular Surgery, IRCCS Centro Cardiologico Monzino, Milan, Italy.

Department of Biomedical, Surgical and Dental Sciences, University of Milan, Italy.

Braz J Cardiovasc Surg. 2022 Aug 16;37(4):595-598. doi: 10.21470/1678-9741-2020-0570.

Iatrogenic acute aortic dissections during percutaneous coronary interventions are an extremely rare but potentially life-threatening complication, occurring in less than 0.02% of transcatheter procedures. We report three patients with different characteristics suffering from iatrogenic aortic dissection during percutaneous coronary intervention successfully treated with an emergency open-heart surgery. A conservative strategy should be pursuit only in small, localized lesions.

经皮冠状动脉介入治疗期间的医源性急性主动脉夹层是一种极其罕见但潜在危及生命的并发症，在经导管手术中发生率低于 0.02%。我们报告了三例具有不同特征的患者，他们在经皮冠状动脉介入治疗期间发生医源性主动脉夹层，经紧急开胸手术成功治疗。只有在小的局限性病变时才应采用保守策略。