Open AccessDissection of ascending aorta: A complication of transradial artery access of coronary procedure
Author(s) -
Muhammad Zubair Khan,
Luis A. Guzmán,
Leila Rezai Gharai,
J. Emilio Exaire
Publication year - 2018
Publication title -
heart views
Language(s) - English
Resource type - Journals
eISSN - 0976-5123
pISSN - 1995-705X
DOI - 10.4103/heartviews.heartviews_102_17
Subject(s) - medicine , ascending aorta , complication , dissection (medical) , surgery , aorta , stent , percutaneous coronary intervention , ostium , percutaneous , aortic dissection , descending aorta , cardiology , radiology , myocardial infarction
Iatrogenic acute dissection of ascending aorta following coronary angiography and percutaneous intervention is a rare complication. Most reports involve localized aortic dissections as a complication of cannulation of a coronary artery with propagation into the ascending aorta. It is usually treated by sealing the intima with a stent in the ostium of the coronary artery or conservative management, while extensive dissections may require a surgical intervention. We describe a case of the subclavian dissection extending into the ascending aorta that occurred during diagnostic catheterization using the radial approach. The patient was successfully treated utilizing conservative management.