Journals / Türk Göğüs Kalp Damar Cerrahisi Dergisi / 2007 / Cilt: 15 - Sayı: 3

Koroner anjiyoplasti sırasında gelişen aort disseksiyonunun cerrahi tedavisi: İki olgu sunumu

Surgical treatment of aortic dissection occurring during coronary angioplasty: a report of two cases

Pages
238–241
Publication Date
2022-09-02
DOI
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AI Summary & Key Takeaways

AI Insight
⚡ TL;DR(Too Long; Didn't Read)

We presented two patients who underwent successful operative treatment for coronary dissections with retrograde extension to the ascending aorta, which occurred as a complication of coronary angioplasty.

📌 3 Key Takeaways

🎯
Objective & Hypothesis:Iatrogenic acute dissections of the ascending aorta following percutaneous vascular interventions are rare.
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Key Findings & Data:Although patients with limited aortic involvement can be treated with stenting of the entry site of the coronary dissection, hemodynamically unstable patients with aortic dissection of retrograde extension to the aorta require surgical intervention.
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Conclusion & Impact:We presented two patients who underwent successful operative treatment for coronary dissections with retrograde extension to the ascending aorta, which occurred as a complication of coronary angioplasty.
🔬Design:Research Article
📍Scope:Comprehensive Sample
⚙️Variables:Domain Parameters

Abstract

Iatrogenic acute dissections of the ascending aorta following percutaneous vascular interventions are rare. Although patients with limited aortic involvement can be treated with stenting of the entry site of the coronary dissection, hemodynamically unstable patients with aortic dissection of retrograde extension to the aorta require surgical intervention. We presented two patients who underwent successful operative treatment for coronary dissections with retrograde extension to the ascending aorta, which occurred as a complication of coronary angioplasty.

Özet

Perkütan vasküler girişimi takiben gelişen akut iyatrojenik çıkan aort disseksiyonları nadirdir. Aortun sınırlı olarak etkilendiği durumlarda koroner disseksiyon giriş yerinin stentlenmesi yeterliyken, aorta retrograd ilerleme gösteren disseksiyonlarda ve hemodinamik olarak instabil hastalarda cerrahi girişim gerekir. Bu yazıda, koroner anjiyoplasti komplikasyonu olarak gelişen ve çıkan aorta retrograd uzanım gösteren koroner disseksiyonların cerrahi olarak başarıyla tedavi edildiği iki olgu sunuldu.

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Cite This Article

YILIK, L., LAFCI, B., ÖZSÖYLER, İ., EMRECAN, B., GÜRBÜZ, A. (2022). Koroner anjiyoplasti sırasında gelişen aort disseksiyonunun cerrahi tedavisi: İki olgu sunumu. Türk Göğüs Kalp Damar Cerrahisi Dergisi, Cilt: 15 - Sayı: 3, 238–241. https://ajindex.com/articles/419819

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References (11)

  1. Hermans WR, Foley DP, Rensing BJ, Rutsch W, Heyndrickx GR, Danchin N, et al. Usefulness of quantitative and qualitative angiographic lesion morphology, and clinical characteristics in predicting major adverse cardiac events during and after native coronary balloon angioplasty. CARPORT and MERCATOR Study Groups. Am J Cardiol 1993;72:14-20
  2. Geraci AR, Krishnaswami V, Selman MW. Aorto-coronary dissection complicating coronary arteriography. J Thorac Cardiovasc Surg 1973;65:695-8
  3. Alfonso F, Almeria C, Fernandez-Ortiz A, Segovia J, Ferreiros J, Goicolea J, et al. Aortic dissection occurring during coronary angioplasty: angiographic and transesophageal echocardiographic findings. Cathet Cardiovasc Diagn 1997; 42:412-5
  4. Ruda-Vega M. Aortic dissection-exceedingly rare complication of coronary angioplasty. Cathet Cardiovasc Diagn 1997; 42:416
  5. Awadalla H, Salloum JG, Smalling RW, Sdringola S. Catheter-induced dissection of the left main coronary artery with and without extension to the aortic root: a report of two cases and a review of the literature. J Interv Cardiol 2004; 17:253-7
  6. Dunning DW, Kahn JK, Hawkins ET, O’Neill WW. Iatrogenic coronary artery dissections extending into and involving the aortic root. Catheter Cardiovasc Interv 2000; 51:387-93
  7. Carter AJ, Brinker JA. Dissection of the ascending aorta associated with coronary angiography. Am J Cardiol 1994; 73:922-3
  8. Bae JH, Kim KB, Kim KS, Kim YN. A case of aortocoronary dissection as a complication during a percutaneous transluminal coronary angioplasty (PTCA). Int J Cardiol 1998; 66:237-40
  9. Maiello L, La Marchesina U, Presbitero P, Faletra F. Iatrogenic aortic dissection during coronary intervention. Ital Heart J 2003;4:419-22
  10. Januzzi JL, Sabatine MS, Eagle KA, Evangelista A, Bruckman D, Fattori R, et al; International Registry of Aortic Dissection Investigators. Iatrogenic aortic dissection. Am J Cardiol 2002;89:623-6
  11. Chen YM, Chang CP, Wu CC, Shen CH, Ho WM. Cardiac catheterization-induced type-A aortic dissection detected by intra-operative transesophageal echocardiography-a case report. Acta Anaesthesiol Taiwan 2004;42:45-8.