64-slice computed tomography as an adjunct to aortography in suspected iatrogenic aortocoronary dissection. (August 2011)

• Record Type: Journal Article
• Authors: Dorman, Stephen; Sorbets, Emmanuel; Serfaty, Jean-Michel; Juliard, Jean-Michel
• Is Part Of: Interventional cardiology. Volume 3:Number 4(2011)
• Page Start: 467
• Page End: 471
• Publication Date: 2011-08
• Subjects: aortocoronary dissection -- coronary dissection -- iatrogenic aortic dissection -- percuataneous coronary intervention; Cardiology -- Periodicals; Coronary heart disease -- Treatment -- Periodicals; 616.1205
• DOI: 10.2217/ica.11.46
• Languages: English
• ISSNs: 1755-5310

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.