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allied
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Current Trends in Cardiology | Volume: 03
10
th
WORLD HEART CONGRESS
&
6
th
International Congress on
CARDIOLOGY AND CARDIAC SURGERY
December 02-03, Dubai, UAE
Joint event on
Curr Trend Cardiol, Volume: 03
Rare case of iatrogenic aortocoronary dissection by diagnostic transradial cardiac
catheterization
Amit Soni¹
,
², Timur Maslov¹, Kenzhebek Bizhanov¹, Robert S Mvungi², Mustafa Bapumia²
¹National Scientific Centre of Surgery, Kazakhstan
²The Aga Khan Hospital, Tanzania
A
combined, type A Aortic dissectionwith coronary artery
dissection during diagnostic coronary angiography is an
extremely rare, but a very critical complication with high
mortality. During a coronary artery involvement as an entry
point, it can be treated by sealing the dissection plane
with a coronary stent. Extensive dissections may require
a surgical intervention. Different factors that influence the
management decision includes hemodynamically unstable
patient, aortic injury mechanism, size, severity, direction
in which the dissection spreads, intimal flap presence,
and preexisting atherosclerotic disease. We present a case
of type A aortic dissection including dissection of ostium
of right coronary artery (RCA) caused by a diagnostic
coronary catheter. This iatrogenic aortic dissection required
emergent coronary artery bypass graft (CABG) to RCA and
surgical repair with supracoronary replacement of the
ascending aorta.
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