Management of Iatrogenic Aortic Dissections During Percutaneous Right Coronary Artery Interventions

ABSTRACT 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.

【摘要】经皮冠状动脉介入治疗（percutaneous coronary intervention）期间并发的医源性急性主动脉夹层（iatrogenic acute aortic dissection）是一类极为罕见但具有潜在致命风险的并发症，在经导管操作中的发生率不足0.02%。本研究报告3例具有不同临床特征的患者，其在经皮冠状动脉介入治疗过程中发生医源性主动脉夹层，均通过急诊心脏外科手术成功救治。仅针对小型、局限性病变方可采用保守治疗策略。