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 journalArticle

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 languageEnglish (US)
Pages (from-to)467-471
Number of pages5
JournalInterventional Cardiology
Volume3
Issue number4
DOIs
StatePublished - Aug 2011
Externally publishedYes

Keywords

  • aortocoronary dissection
  • coronary dissection
  • iatrogenic aortic dissection
  • percuataneous coronary intervention

ASJC Scopus subject areas

  • Cardiology and Cardiovascular Medicine

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