Publication Date
2-1-2016
Journal
The Texas Heart Journal
DOI
10.14503/THIJ-14-4585
PMID
27047287
Publication Date(s)
February 2016
Language
English
PMCID
PMC4810587
PubMedCentral® Posted Date
2-1-2016
PubMedCentral® Full Text Version
Post-Print
Published Open-Access
yes
Keywords
Aged, Aortic Dissection, Aortic Aneurysm, Thoracic, Coronary Angiography, Echocardiography, Transesophageal, Humans, Iatrogenic Disease, Male, Middle Aged, Percutaneous Coronary Intervention, Reoperation, ST Elevation Myocardial Infarction, Vascular Surgical Procedures
Copyright
This work is licensed under a Creative Commons Attribution-NonCommercial-No Derivative Works 4.0 International License.
Abstract
Aortic dissection, a rare sequela of percutaneous coronary intervention, can be fatal when it is not recognized and treated promptly. Treatment varies from conservative management to invasive aortic repair and revascularization. We report the cases of 2 patients whose aortic dissection was caused by percutaneous coronary intervention. In addition, we present detailed analyses of 86 previously reported cases. Aortic dissection was most often seen during intervention to the right coronary artery (in 76.7% of instances). The 2 most frequently reported causes were catheter trauma (in 54% of cases) and balloon inflation (in 23.8%). The overall mortality rate was 7.1%. We conclude that most patients can be treated conservatively or by means of stenting alone, with no need for surgical intervention.