Interv Akut Kardiol. 2023;22(2):83-86 | DOI: 10.36290/kar.2023.020

Iatrogenic aortic dissection as a complication of percutaneous coronary interventions

Johana Horáková, Aleš Král, Pavel Procházka, Aleš Linhart

II. interní klinika kardiologie a angiologi, Všeobecná fakultní nemocnice a 1. lékařská fakulta UK, Praha

Iatrogenic aortic dissection is a rare but life-threatening complication of percutaneous coronary intervention (PCI). Emergency surgical treatment is recommended for spontaneous type A aortic dissection, but no specific recommendations have been formulated for iatrogenic dissections. In early studies, the mortality rate of surgically treated patients with iatrogenic aortic dissection was as high as 50%, but according to the currently available registry data, the mortality rate seems comparable to that of patients operated on for spontaneous type A aortic dissection (approximately 16%). However, case reports have been presented of patients successfully treated conservatively with complete healing of the dissection, including cases with extensive aortic wall damage.

Keywords: iatrogenic aortic dissection, percutaneous coronary intervention, acute aortic syndrome.

Received: March 30, 2023; Accepted: May 3, 2023; Published: May 9, 2023  Show citation