Iatrogenic Ascending Aorta Dissection during Diagnostic Coronary Angiography: Rare but Life-Threatening
Dissection of the ascending aorta is a very rare but life-threatening complication during diagnostic angiography. We present a case of an elderly woman who underwent an elective diagnostic coronary angiography, complicated with an iatrogenic ascending aorta dissection that did not involve the cor...
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| Format: | Article |
| Language: | English |
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Wiley
2014-01-01
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| Series: | Case Reports in Cardiology |
| Online Access: | http://dx.doi.org/10.1155/2014/809398 |
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| _version_ | 1832563878831063040 |
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| author | Marc Lambelin Luc Janssens Luc Haenen |
| author_facet | Marc Lambelin Luc Janssens Luc Haenen |
| author_sort | Marc Lambelin |
| collection | DOAJ |
| description | Dissection of the ascending aorta is a very rare but life-threatening complication during diagnostic
angiography. We present a case of an elderly woman who underwent an elective diagnostic coronary
angiography, complicated with an iatrogenic ascending aorta dissection that did not involve the
coronary arteries but originated 4 cm distal of the aortic valve. The patient developed cardiogenic
shock due to acute pericardial tamponade and so immediate, life-saving cardiac surgery with
implantation of a supracoronary graft was successfully performed. A biopsy from the excised aorta
showed loss of smooth muscle cells and accumulation of basophilic ground substance, clear features
of cystic media necrosis. This is believed to be the underlying cause of the dissection besides a nonselective injection of the right coronary artery. |
| format | Article |
| id | doaj-art-eaedc3ec5af543c49127c75884e8c21d |
| institution | Kabale University |
| issn | 2090-6404 2090-6412 |
| language | English |
| publishDate | 2014-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | Case Reports in Cardiology |
| spelling | doaj-art-eaedc3ec5af543c49127c75884e8c21d2025-02-03T01:12:20ZengWileyCase Reports in Cardiology2090-64042090-64122014-01-01201410.1155/2014/809398809398Iatrogenic Ascending Aorta Dissection during Diagnostic Coronary Angiography: Rare but Life-ThreateningMarc Lambelin0Luc Janssens1Luc Haenen2Department of Cardiology, Imelda Hospital, Imeldalaan 9, 2820 Bonheiden, BelgiumDepartment of Cardiology, Imelda Hospital, Imeldalaan 9, 2820 Bonheiden, BelgiumDepartment of Cardiovascular Surgery, Imelda Hospital, Imeldalaan 9, 2820 Bonheiden, BelgiumDissection of the ascending aorta is a very rare but life-threatening complication during diagnostic angiography. We present a case of an elderly woman who underwent an elective diagnostic coronary angiography, complicated with an iatrogenic ascending aorta dissection that did not involve the coronary arteries but originated 4 cm distal of the aortic valve. The patient developed cardiogenic shock due to acute pericardial tamponade and so immediate, life-saving cardiac surgery with implantation of a supracoronary graft was successfully performed. A biopsy from the excised aorta showed loss of smooth muscle cells and accumulation of basophilic ground substance, clear features of cystic media necrosis. This is believed to be the underlying cause of the dissection besides a nonselective injection of the right coronary artery.http://dx.doi.org/10.1155/2014/809398 |
| spellingShingle | Marc Lambelin Luc Janssens Luc Haenen Iatrogenic Ascending Aorta Dissection during Diagnostic Coronary Angiography: Rare but Life-Threatening Case Reports in Cardiology |
| title | Iatrogenic Ascending Aorta Dissection during Diagnostic Coronary Angiography: Rare but Life-Threatening |
| title_full | Iatrogenic Ascending Aorta Dissection during Diagnostic Coronary Angiography: Rare but Life-Threatening |
| title_fullStr | Iatrogenic Ascending Aorta Dissection during Diagnostic Coronary Angiography: Rare but Life-Threatening |
| title_full_unstemmed | Iatrogenic Ascending Aorta Dissection during Diagnostic Coronary Angiography: Rare but Life-Threatening |
| title_short | Iatrogenic Ascending Aorta Dissection during Diagnostic Coronary Angiography: Rare but Life-Threatening |
| title_sort | iatrogenic ascending aorta dissection during diagnostic coronary angiography rare but life threatening |
| url | http://dx.doi.org/10.1155/2014/809398 |
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