Παρασκευή 26 Οκτωβρίου 2018

Dissection of ascending aorta: A complication of transradial artery access of coronary procedure

Muhammad Zubair Khan, Luis Guzman, Leila Rezai Gharai, Jose E Exaire

Heart Views 2018 19(2):63-66

Iatrogenic acute dissection of ascending aorta following coronary angiography and percutaneous intervention is a rare complication. Most reports involve localized aortic dissections as a complication of cannulation of a coronary artery with propagation into the ascending aorta. It is usually treated by sealing the intima with a stent in the ostium of the coronary artery or conservative management, while extensive dissections may require a surgical intervention. We describe a case of the subclavian dissection extending into the ascending aorta that occurred during diagnostic catheterization using the radial approach. The patient was successfully treated utilizing conservative management.

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