Treatment Optimization of Aortocoronary Dissection as a Complication After Heart Catheterization Using Coronary Computerized Tomographic Angiography

详细信息    查看全文

• 作者：Stefan Baumann ; MD^a ; ^{stefan.baumann@umm.de" class="auth_mail} ; Aydin Huseynov ; MD^a ; Michael Behnes ; MD^a ; Daniel Frambach ; MD ; PhD^a ; Christian Bö ; cker ; MD^a ; Tobias Becher ; MD^a ; Thomas Henzler ; MD^b ; Ralf Lehmann ; MD^a ; Martin Borggrefe ; MD^a ; Ibrahim Akin ; MD^a
• 刊名：Canadian Journal of Cardiology
• 出版年：June 2014
• 年：2014
• 卷：30
• 期：6
• 页码：696.e13-696.e15
• 全文大小：817 K

文摘

We present the case of a 71-year-old patient with a chronic total occlusion of the right coronary artery (RCA) resulting in a retrograde aortic dissection as a complication of coronary intervention. Acute therapy consisted of coronary stent implantation into the proximal RCA to cover the dissection's entry. One day after, computed tomography-guided angiography revealed a progression of the intramural aortic hematoma with a residual dissection at the RCA ostium. Recurrent coronary angiography was performed to implant another stent covering the entry. Imaging at follow-up demonstrated complete coverage of the Dunning dissection and regression of the intramural aortic hematoma.