Clampless myocardial revascularization on a healed iatrogenic aortic dissection
Abstract Iatrogenic aortic dissection is an infrequent complication of cardiac catheterization (0.03–0.06%) associated with up to 19% of mortality at 30 days. It was reported to mostly occur when using a 6-Fr guiding catheter to cannulate the right coronary artery. This life-threatening complication...
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Published in | Interactive cardiovascular and thoracic surgery Vol. 26; no. 2; pp. 362 - 363 |
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Main Authors | , , , |
Format | Journal Article |
Language | English |
Published |
England
Oxford University Press
01.02.2018
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Subjects | |
Online Access | Get full text |
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Summary: | Abstract
Iatrogenic aortic dissection is an infrequent complication of cardiac catheterization (0.03–0.06%) associated with up to 19% of mortality at 30 days. It was reported to mostly occur when using a 6-Fr guiding catheter to cannulate the right coronary artery. This life-threatening complication usually requires early surgical management and close imaging monitoring and control of systolic blood pressure. This case report describes a patient with iatrogenic aortic dissection during cardiac catheterization in symptomatic coronary artery disease. Conservative management of the limited non-progressive aortic dissection was chosen followed by surgical revascularization with a clampless technique, despite the recent aortic injury. |
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Bibliography: | ObjectType-Case Study-2 SourceType-Scholarly Journals-1 ObjectType-Feature-4 content type line 23 ObjectType-Report-1 ObjectType-Article-3 |
ISSN: | 1569-9293 1569-9285 |
DOI: | 10.1093/icvts/ivx306 |