Iatrogenic Ascending Aorta Dissection during Diagnostic Coronary Angiography: Rare but Life-Threatening
Dissection of the ascending aorta is a very rare but life-threatening complication during diagnostic angiography. We present a case of an elderly woman who underwent an elective diagnostic coronary angiography, complicated with an iatrogenic ascending aorta dissection that did not involve the cor...
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| Main Authors: | , , |
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| Format: | Article |
| Language: | English |
| Published: |
Wiley
2014-01-01
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| Series: | Case Reports in Cardiology |
| Online Access: | http://dx.doi.org/10.1155/2014/809398 |
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| Summary: | Dissection of the ascending aorta is a very rare but life-threatening complication during diagnostic
angiography. We present a case of an elderly woman who underwent an elective diagnostic coronary
angiography, complicated with an iatrogenic ascending aorta dissection that did not involve the
coronary arteries but originated 4 cm distal of the aortic valve. The patient developed cardiogenic
shock due to acute pericardial tamponade and so immediate, life-saving cardiac surgery with
implantation of a supracoronary graft was successfully performed. A biopsy from the excised aorta
showed loss of smooth muscle cells and accumulation of basophilic ground substance, clear features
of cystic media necrosis. This is believed to be the underlying cause of the dissection besides a nonselective injection of the right coronary artery. |
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| ISSN: | 2090-6404 2090-6412 |