Iatrogenic acute aortic dissections during percutaneous coronary interventions are an extremely rare but potentially life-threatening complication, occurring in less than 0.02% of transcatheter procedures. We report three patients with different characteristics suffering from iatrogenic aortic dissection during percutaneous coronary intervention successfully treated with an emergency open-heart surgery. A conservative strategy should be pursuit only in small, localized lesions.
Reference: Management of Iatrogenic Aortic Dissections During Percutaneous Right Coronary Artery Interventions. Gennari M, Mastroiacovo G, Polvani G, Fabbiocchi F, Agrifoglio M.
Braz J Cardiovasc Surg. 2022 Aug 16;37(4):595-598.