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Heart Views. 2018 Apr-Jun;19(2):63-66. doi: 10.4103/HEARTVIEWS.HEARTVIEWS_102_17.

Dissection of Ascending Aorta: A Complication of Transradial Artery Access of Coronary Procedure.

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Virginia Commonwealth University Hospital, Richmond, Virginia, USA.


Iatrogenic acute dissection of ascending aorta following coronary angiography and percutaneous intervention is a rare complication. Most reports involve localized aortic dissections as a complication of cannulation of a coronary artery with propagation into the ascending aorta. It is usually treated by sealing the intima with a stent in the ostium of the coronary artery or conservative management, while extensive dissections may require a surgical intervention. We describe a case of the subclavian dissection extending into the ascending aorta that occurred during diagnostic catheterization using the radial approach. The patient was successfully treated utilizing conservative management.


Complication of transradial access; dissection of ascending aorta; subclavian dissection

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