64-slice computed tomography as an adjunct to aortography in suspected iatrogenic aortocoronary dissection

Stephen Dorman; Emmanuel Sorbets; Jean Michel Serfaty; Jean Michel Juliard

doi:10.2217/ica.11.46

64-slice computed tomography as an adjunct to aortography in suspected iatrogenic aortocoronary dissection

Stephen Dorman, Emmanuel Sorbets, Jean Michel Serfaty, Jean Michel Juliard

Research output: Contribution to journal › Article › peer-review

Abstract

Iatrogenic aortic dissection is an uncommon but potentially fatal complication. We present a case of iatrogenic coronary dissection following percutaneous coronary intervention to the right coronary artery. Aortography initially suggested coronary dissection complicated by type A aortic dissection, however, 64-slice computed tomography excluded classical aortic dissection and instead demonstrated widespread pericardial extravasation secondary to coronary perforation/rupture. This article reviews the pathophysiology, diagnosis and management of aorto-coronary dissection.

Original language	English (US)
Pages (from-to)	467-471
Number of pages	5
Journal	Interventional Cardiology
Volume	3
Issue number	4
DOIs	https://doi.org/10.2217/ica.11.46
State	Published - Aug 2011
Externally published	Yes

Keywords

aortocoronary dissection
coronary dissection
iatrogenic aortic dissection
percuataneous coronary intervention

ASJC Scopus subject areas

Cardiology and Cardiovascular Medicine

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10.2217/ica.11.46

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abstract = "Iatrogenic aortic dissection is an uncommon but potentially fatal complication. We present a case of iatrogenic coronary dissection following percutaneous coronary intervention to the right coronary artery. Aortography initially suggested coronary dissection complicated by type A aortic dissection, however, 64-slice computed tomography excluded classical aortic dissection and instead demonstrated widespread pericardial extravasation secondary to coronary perforation/rupture. This article reviews the pathophysiology, diagnosis and management of aorto-coronary dissection.",

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AU - Sorbets, Emmanuel

AU - Serfaty, Jean Michel

AU - Juliard, Jean Michel

PY - 2011/8

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N2 - Iatrogenic aortic dissection is an uncommon but potentially fatal complication. We present a case of iatrogenic coronary dissection following percutaneous coronary intervention to the right coronary artery. Aortography initially suggested coronary dissection complicated by type A aortic dissection, however, 64-slice computed tomography excluded classical aortic dissection and instead demonstrated widespread pericardial extravasation secondary to coronary perforation/rupture. This article reviews the pathophysiology, diagnosis and management of aorto-coronary dissection.

AB - Iatrogenic aortic dissection is an uncommon but potentially fatal complication. We present a case of iatrogenic coronary dissection following percutaneous coronary intervention to the right coronary artery. Aortography initially suggested coronary dissection complicated by type A aortic dissection, however, 64-slice computed tomography excluded classical aortic dissection and instead demonstrated widespread pericardial extravasation secondary to coronary perforation/rupture. This article reviews the pathophysiology, diagnosis and management of aorto-coronary dissection.

KW - aortocoronary dissection

KW - coronary dissection

KW - iatrogenic aortic dissection

KW - percuataneous coronary intervention

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64-slice computed tomography as an adjunct to aortography in suspected iatrogenic aortocoronary dissection

Abstract

Keywords

ASJC Scopus subject areas

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