Successful conservative management of Class Ⅲ iatrogenic aortic dissection

• 来源期刊: 老年心脏病学杂志（英文版）
• 年，卷（期）: 2018,（3）
• 页码范围: 235-237
• 页数: 3页
• 语种: 英文
• DOI: 10.11909/j.issn.1671-5411.2018.03.006

摘要

Iatrogenic aortic dissection (IAD) is a rare complication of percutaneous coronary intervention (PCI)[1-4] with an estimated incidence of 0.02％-0.04％.[1,5] IAD occurs more frequently in the setting of urgent PCI for acute myocardial infarction (AMI) (0.19％) than for elective procedures (0.01％).[1] The mortality risk associated with IAD is high (16％) and is comparable to that for spontaneous aortic dissection (16％).[3,4] Urgent surgery is the treatment of choice[1,5]for extensive dissection or hemodynamic instability.In this report,we present a case of severe IAD that was managed conservatively with good clinical outcome.