A Successful Case of Conservative Management for Iatrogenic Aortocoronary Dissection During Percutaneous Coronary Intervention

Aortocoronary dissection is an infrequent yet potentially lethal complication of coronary angiography or percutaneous coronary intervention (PCI). Treatment strategies include conservative management, stent implantation, and surgical intervention. We herein report a case of iatrogenic aortocoronary...

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Bibliographic Details
Published in:Journal of Coronary Artery Disease Vol. 28; no. 4; pp. 87 - 91
Main Authors: Hamamoto, Masaki, Nitta, Kazuhiro, Watanabe, Yoshikazu, Fujiwara, Takashi, Tsujiyama, Shuji, Fujii, Takashi, Shokawa, Tomoki, Maeda, Koji
Format: Journal Article
Language:English
Published: The Japanese Coronary Association 2022
Subjects:
aortocoronary dissection
percutaneous coronary intervention
ISSN:2434-2173, 2434-2173
Online Access:Get full text
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Summary:Aortocoronary dissection is an infrequent yet potentially lethal complication of coronary angiography or percutaneous coronary intervention (PCI). Treatment strategies include conservative management, stent implantation, and surgical intervention. We herein report a case of iatrogenic aortocoronary dissection during PCI of the right coronary artery successfully treated by conservative management. Conservative treatment may be a potential alternative to surgical treatment for iatrogenic aortocoronary dissection with limited extension when the patient’s clinical condition is stable under strict hemodynamic management.
ISSN:2434-2173
2434-2173
DOI:10.7793/jcad.28.22-00014