Aortic dissection extending from the brachiocephalic artery during transradial coronary catheterization: a case report.

ABSTRACT:

Background

Iatrogenic acute aortic dissection (AD) is an extremely rare but devastating complication during cardiac catheterization. It can be treated conservatively if it develops in a retrograde form or manifests as an intramural hematoma (IMH) with a micro-intimal tear in the absence of instability. However, only a few reports exist on its natural course and long-term outcomes.

Case presentation

A 78-year-old woman presented to the emergency department with acute chest discomfort. Elective cardiac catheterization was performed via the right radial artery. The patient's brachiocephalic artery was so tortuous that the hydrophilic soft guidewire had to be exchanged for a stiffer one. However, the stiff wire caused the dissection of a tortuous brachiocephalic artery that exte

SUBMITTER: Kim K 

PROVIDER: S-EPMC7460766 | biostudies-literature | 2020 Aug

REPOSITORIES: biostudies-literature