Case Report, Int J Cardiovasc Res Vol: 4 Issue: 6
Extensive Retrograde Coronary Dissection into the Ascending Thoracic Aorta, Clinical Case Report
| Vladimir Ganyukov*, Nikita Kochergin and Olga Barbarash | |
| Department of Interventional Cardiology, State Research Institute for Complex Issues of Cardiovascular Diseases, Kemerovo, Russia | |
| Corresponding author : Vladimir Ganyukov Department of Interventional Cardiology, State Research Institute for Complex Issues of Cardiovascular Diseases, 6 Sosnovy Boulevard, Kemerovo 650002, Russia, Tel: +79131273905; Fax: 0073842642718 E-mail: ganyukov@mail.ru |
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| Received: May 28, 2015 Accepted: July 22, 2015 Published: July 28, 2015 | |
| Citation: Ganyukov V, Kochergin N, Barbarash O (2015) Extensive Retrograde Coronary Dissection into the Ascending Thoracic Aorta, Clinical Case Report. Int J Cardiovasc Res 4:6. doi:10.4172/2324-8602.1000237 |
Abstract
Extensive Retrograde Coronary Dissection into the Ascending Thoracic Aorta, Clinical Case Report
Retrograde dissection extending into the ascending thoracic aorta is a life threatening complication during percutaneous coronary intervention (PCI). This form of severe coronary dissection is very rarely observed. Aortic dissection extending >40 mm up the aorta in hemodynamically unstable patients is usually treated by а surgical intervention. We present a case of coronary artery dissection during a PCI where retrograde dissection extending progressively into the ascending thoracic aorta was observed. The complication was accompanied by hemodynamic instability but was successfully treated with stenting without an operation.
