Conservative Treatment of Iatrogenic Ascending Aortic Hematoma Post-Rotablator Coronary Procedure.

Maxime Doutriaux, Benjamin Pariente, Jad Zahnan, Xavier Marchand
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引用次数: 2

Abstract

Background  Aortic intramural hematoma due to coronary artery dissection is a rare and serious complication during percutaneous coronary intervention. Case Presentation  A 78-year-old female patient was admitted for diagnostic coronarography in the context of stable angina. The coronarography showed an asymmetric and significate calcification in the ostium of the right coronary requiring Rotablator (Boston Scientific) procedure complicated by iatrogenic ascending aortic hematoma. After surgical advice, a conservative approach was decided with total hematoma resorption and recovery 1 week later. Conclusion  With stable patient, conservative treatment may be suitable after aortic hematoma due to coronary dissection.

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冠状动脉旋转手术后医源性升主动脉血肿的保守治疗。
背景:主动脉壁内血肿是经皮冠状动脉介入治疗中一种罕见而严重的并发症。一位78岁的女性患者在稳定型心绞痛的背景下接受冠状造影诊断。冠状造影显示右冠状动脉开口不对称且明显钙化,需要rotabator (Boston Scientific)手术并医源性升主动脉血肿。手术建议后,1周后血肿完全吸收和恢复,决定保守入路。结论在病情稳定的情况下,对冠状动脉夹层所致主动脉血肿进行保守治疗是可行的。
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