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Year : 2018  |  Volume : 19  |  Issue : 2  |  Page : 63-66

Dissection of ascending aorta: A complication of transradial artery access of coronary procedure

Virginia Commonwealth University Hospital, Richmond, Virginia, USA

Correspondence Address:
Dr. Jose E Exaire
Virginia Commonwealth University Hospital, Richmond, Virginia
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Source of Support: None, Conflict of Interest: None


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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.

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