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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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1
Virginia Commonwealth University Hospital, Richmond, Virginia, USA.

Abstract

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.

KEYWORDS:

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

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