Iatrogenic Aortocoronary Dissection During Percutaneous Coronary Intervention

Abstract

We present a case of iatrogenic aortocoronary dissection sustained during routine percutaneous coronary intervention for stable angina. Careful wiring of the true lumen and stent implantation to seal off the dissection flap prevented immediate complications, and computed tomography aortography guided a conservative approach to manage the residual aortic dissection. (Level of Difficulty: Intermediate.)

Keywords

• complication
• dissection
• percutaneous coronary intervention