Conservative Management of Iatrogenic Type a Aortic Dissection Occurring During Percutaneous Coronary Intervention
Year: 2026
Type: article
Study design: Case Report
Abstract: BACKGROUND: Iatrogenic type A aortic dissection (TAAD) during percutaneous coronary intervention (PCI) is a rare but life-threatening complication, usually managed surgically. CASE PRESENTATION: We report the case of a 59-year-old patient who developed an ascending aortic dissection extending to the proximal arch during left circumflex (LCX) chronic total occlusion (CTO) recanalization. Stenting of the LCX and left main coronary artery successfully sealed the entry site and stabilized the patient. Computed tomography revealed a false lumen occupying 51% of the aortic diameter, without involvement of supra-aortic branches. Conservative management was initiated with strict anti-impulse therapy and staged dual antiplatelet therapy. At 24 h, the false lumen regressed to 37%, with complete resolution by Day 7. CONCLUSION: In selected cases of iatrogenic TAAD during PCI, conservative management following successful sealing of the entry tear may represent a safe alternative to sugery.
DOI: 10.1002/ccd.70622
Authors: Mohamed El Mallouli, Chirine Liu, Romain Van Der Linden, Brahim Berdaoui, Georgiana Pintea Bentea
Institution: Centre Hospitalier Universitaire Brugmann
Language: English
Subfield: Pulmonary and Respiratory Medicine
Field: Medicine
Domain: Health Sciences
Open Access status: green
OpenAlex ID: W7154154081