Type A aortic dissection during therapeutic coronary intervention in acute coronary syndrome: case report
Iatrogenic aortic dissection during coronary interventions is a rare complication and has heterogeneous management in the reviewed literature. We report a case of acute aortic syndrome of traumatic etiology, during a percutaneous coronary procedure, with its management, intra-hospital evolution, an...
| Main Authors: | , , , , , |
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| Format: | Article |
| Language: | English |
| Published: |
Hospital de Clínicas de Itajubá
2022-12-01
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| Series: | Revista Ciências em Saúde |
| Subjects: | |
| Online Access: | https://portalrcs.hcitajuba.org.br/index.php/rcsfmit_zero/article/view/1337 |
| _version_ | 1797975878122078208 |
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| author | Bruno Laurenti Janella Lara de Oliveira Gouveia Sara Aguiar Mendonça Thais Reaidi El Tawil Isadora Spinelli Camila Naomi Matsuda |
| author_facet | Bruno Laurenti Janella Lara de Oliveira Gouveia Sara Aguiar Mendonça Thais Reaidi El Tawil Isadora Spinelli Camila Naomi Matsuda |
| author_sort | Bruno Laurenti Janella |
| collection | DOAJ |
| description |
Iatrogenic aortic dissection during coronary interventions is a rare complication and has heterogeneous management in the reviewed literature. We report a case of acute aortic syndrome of traumatic etiology, during a percutaneous coronary procedure, with its management, intra-hospital evolution, and one-year follow-up. A 65-year-old female who, during a percutaneous coronary intervention, presented an endothelium trauma of the left main artery's aorta-ostial transition by the tip of the guide catheter, leading to aortic dissection and occlusion of the left main artery with hemodynamic deterioration of the patient. The left main artery's flow was restored with drug-eluting stent implantation leading to a successful sealing of the false lumen with consequent hemodynamic stabilization. Immediate post-procedure transthoracic echocardiography showed a competent aortic valve. The patient evolved favorably and remains asymptomatic after one year.
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| first_indexed | 2024-04-11T04:42:27Z |
| format | Article |
| id | doaj.art-831f5ba2f9874454a11591375c5c81f8 |
| institution | Directory Open Access Journal |
| issn | 2236-3785 |
| language | English |
| last_indexed | 2024-04-11T04:42:27Z |
| publishDate | 2022-12-01 |
| publisher | Hospital de Clínicas de Itajubá |
| record_format | Article |
| series | Revista Ciências em Saúde |
| spelling | doaj.art-831f5ba2f9874454a11591375c5c81f82022-12-27T21:26:55ZengHospital de Clínicas de ItajubáRevista Ciências em Saúde2236-37852022-12-0112410.21876/rcshci.v12i4.1337Type A aortic dissection during therapeutic coronary intervention in acute coronary syndrome: case reportBruno Laurenti Janella0Lara de Oliveira Gouveia1Sara Aguiar Mendonça2Thais Reaidi El Tawil3Isadora Spinelli4Camila Naomi Matsuda5Itajubá Clinics Hospital, Faculty of Medicine of ItajubáFaculty of Medicine of ItajubáFaculty of Medicine of ItajubáFaculty of Medicine, Pontifical Catholic University (Campinas)Faculty of Medicine, Pontifical Catholic University (Campinas)Itajubá Clinics Hospital Iatrogenic aortic dissection during coronary interventions is a rare complication and has heterogeneous management in the reviewed literature. We report a case of acute aortic syndrome of traumatic etiology, during a percutaneous coronary procedure, with its management, intra-hospital evolution, and one-year follow-up. A 65-year-old female who, during a percutaneous coronary intervention, presented an endothelium trauma of the left main artery's aorta-ostial transition by the tip of the guide catheter, leading to aortic dissection and occlusion of the left main artery with hemodynamic deterioration of the patient. The left main artery's flow was restored with drug-eluting stent implantation leading to a successful sealing of the false lumen with consequent hemodynamic stabilization. Immediate post-procedure transthoracic echocardiography showed a competent aortic valve. The patient evolved favorably and remains asymptomatic after one year. https://portalrcs.hcitajuba.org.br/index.php/rcsfmit_zero/article/view/1337Acute coronary syndromeAortic diseasesCardiac catheterization |
| spellingShingle | Bruno Laurenti Janella Lara de Oliveira Gouveia Sara Aguiar Mendonça Thais Reaidi El Tawil Isadora Spinelli Camila Naomi Matsuda Type A aortic dissection during therapeutic coronary intervention in acute coronary syndrome: case report Revista Ciências em Saúde Acute coronary syndrome Aortic diseases Cardiac catheterization |
| title | Type A aortic dissection during therapeutic coronary intervention in acute coronary syndrome: case report |
| title_full | Type A aortic dissection during therapeutic coronary intervention in acute coronary syndrome: case report |
| title_fullStr | Type A aortic dissection during therapeutic coronary intervention in acute coronary syndrome: case report |
| title_full_unstemmed | Type A aortic dissection during therapeutic coronary intervention in acute coronary syndrome: case report |
| title_short | Type A aortic dissection during therapeutic coronary intervention in acute coronary syndrome: case report |
| title_sort | type a aortic dissection during therapeutic coronary intervention in acute coronary syndrome case report |
| topic | Acute coronary syndrome Aortic diseases Cardiac catheterization |
| url | https://portalrcs.hcitajuba.org.br/index.php/rcsfmit_zero/article/view/1337 |
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