Type A aortic dissection during therapeutic coronary intervention in acute coronary syndrome: case report
Autor(a) principal: | |
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Data de Publicação: | 2022 |
Outros Autores: | , , , , |
Tipo de documento: | Artigo |
Idioma: | eng por |
Título da fonte: | Revista Ciências em Saúde |
Texto Completo: | https://portalrcs.hcitajuba.org.br/index.php/rcsfmit_zero/article/view/1337 |
Resumo: | Iatrogenic aortic dissection during coronary interventions is a rare complication and has heterogeneous management in the reviewed literature. We report a case of acute aortic syndrome of traumatic etiology, during a percutaneous coronary procedure, with its management, intra-hospital evolution, and one-year follow-up. A 65-year-old female who, during a percutaneous coronary intervention, presented an endothelium trauma of the left main artery's aorta-ostial transition by the tip of the guide catheter, leading to aortic dissection and occlusion of the left main artery with hemodynamic deterioration of the patient. The left main artery's flow was restored with drug-eluting stent implantation leading to a successful sealing of the false lumen with consequent hemodynamic stabilization. Immediate post-procedure transthoracic echocardiography showed a competent aortic valve. The patient evolved favorably and remains asymptomatic after one year. |
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Type A aortic dissection during therapeutic coronary intervention in acute coronary syndrome: case reportDissecção de aorta tipo A durante intervenção coronariana terapêutica na síndrome coronariana aguda: relato de casoAcute coronary syndromeAortic diseasesCardiac catheterizationCateterismo cardíacoDoenças da aortaSíndrome coronariana agudaIatrogenic aortic dissection during coronary interventions is a rare complication and has heterogeneous management in the reviewed literature. We report a case of acute aortic syndrome of traumatic etiology, during a percutaneous coronary procedure, with its management, intra-hospital evolution, and one-year follow-up. A 65-year-old female who, during a percutaneous coronary intervention, presented an endothelium trauma of the left main artery's aorta-ostial transition by the tip of the guide catheter, leading to aortic dissection and occlusion of the left main artery with hemodynamic deterioration of the patient. The left main artery's flow was restored with drug-eluting stent implantation leading to a successful sealing of the false lumen with consequent hemodynamic stabilization. Immediate post-procedure transthoracic echocardiography showed a competent aortic valve. The patient evolved favorably and remains asymptomatic after one year.A dissecção iatrogênica de aorta durante intervenções coronarianas é rara e de manejo heterogêneo. Relatamos um caso de síndrome aórtica aguda de origem traumática, durante procedimento coronariano percutâneo, com seu manejo e evolução. Mulher de 65 anos que durante intervenção coronariana o endotélio na transição aorto-ostial do tronco da artéria coronariana esquerda (TCE) sofreu traumatismo pela ponta do cateter guia produzindo linha de dissecção aórtica e oclusão do TCE causando sua deterioração hemodinâmica. Realizada a recanalização do TCE com implante de stents farmacológicos com êxito na restauração do fluxo coronariano e selamento da falsa luz, com consequente estabilização hemodinâmica. Ecocardiografia transtorácica pós-procedimento imediato mostrou valva aórtica competente. A paciente evoluiu favoravelmente e encontra-se assintomática após 1 ano.Hospital de Clínicas de Itajubá2022-12-27info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersionPeer reviewedAvaliado pelos parestextoinfo:eu-repo/semantics/otherapplication/pdfapplication/pdfhttps://portalrcs.hcitajuba.org.br/index.php/rcsfmit_zero/article/view/133710.21876/rcshci.v12i4.1337Health Sciences Journal; v. 12 n. 4 (2022): Outubro a Dezembro de 2022; 71-76Health Sciences Journal; Vol 12 No 4 (2022): October to December 2022; 71-7610.21876/rcshci.v12i4reponame:Revista Ciências em Saúdeinstname:Hospital de Clínicas de Itajubáinstacron:HCIengporhttps://portalrcs.hcitajuba.org.br/index.php/rcsfmit_zero/article/view/1337/856https://portalrcs.hcitajuba.org.br/index.php/rcsfmit_zero/article/view/1337/857Copyright (c) 2022 Health Sciences Journalhttps://creativecommons.org/licenses/by-nc-sa/4.0info:eu-repo/semantics/openAccessJanella, Bruno LaurentiGouveia, Lara de OliveiraMendonça, Sara AguiarEl Tawil, Thais ReaidiSpinelli, IsadoraMatsuda, Camila Naomi2024-02-13T15:54:27Zoai:ojs.portalrcs.hcitajuba.org.br:article/1337Revistahttps://portalrcs.hcitajuba.org.br/index.php/rcsfmit_zeroPUBhttps://portalrcs.hcitajuba.org.br/index.php/rcsfmit_zero/oaircs@hcitajuba.org.br||rcsfmit@medicinaitajuba.com.br2236-37852236-3785opendoar:2024-02-13T15:54:27Revista Ciências em Saúde - Hospital de Clínicas de Itajubáfalse |
dc.title.none.fl_str_mv |
Type A aortic dissection during therapeutic coronary intervention in acute coronary syndrome: case report Dissecção de aorta tipo A durante intervenção coronariana terapêutica na síndrome coronariana aguda: relato de caso |
title |
Type A aortic dissection during therapeutic coronary intervention in acute coronary syndrome: case report |
spellingShingle |
Type A aortic dissection during therapeutic coronary intervention in acute coronary syndrome: case report Janella, Bruno Laurenti Acute coronary syndrome Aortic diseases Cardiac catheterization Cateterismo cardíaco Doenças da aorta Síndrome coronariana aguda |
title_short |
Type A aortic dissection during therapeutic coronary intervention in acute coronary syndrome: case report |
title_full |
Type A aortic dissection during therapeutic coronary intervention in acute coronary syndrome: case report |
title_fullStr |
Type A aortic dissection during therapeutic coronary intervention in acute coronary syndrome: case report |
title_full_unstemmed |
Type A aortic dissection during therapeutic coronary intervention in acute coronary syndrome: case report |
title_sort |
Type A aortic dissection during therapeutic coronary intervention in acute coronary syndrome: case report |
author |
Janella, Bruno Laurenti |
author_facet |
Janella, Bruno Laurenti Gouveia, Lara de Oliveira Mendonça, Sara Aguiar El Tawil, Thais Reaidi Spinelli, Isadora Matsuda, Camila Naomi |
author_role |
author |
author2 |
Gouveia, Lara de Oliveira Mendonça, Sara Aguiar El Tawil, Thais Reaidi Spinelli, Isadora Matsuda, Camila Naomi |
author2_role |
author author author author author |
dc.contributor.author.fl_str_mv |
Janella, Bruno Laurenti Gouveia, Lara de Oliveira Mendonça, Sara Aguiar El Tawil, Thais Reaidi Spinelli, Isadora Matsuda, Camila Naomi |
dc.subject.por.fl_str_mv |
Acute coronary syndrome Aortic diseases Cardiac catheterization Cateterismo cardíaco Doenças da aorta Síndrome coronariana aguda |
topic |
Acute coronary syndrome Aortic diseases Cardiac catheterization Cateterismo cardíaco Doenças da aorta Síndrome coronariana aguda |
description |
Iatrogenic aortic dissection during coronary interventions is a rare complication and has heterogeneous management in the reviewed literature. We report a case of acute aortic syndrome of traumatic etiology, during a percutaneous coronary procedure, with its management, intra-hospital evolution, and one-year follow-up. A 65-year-old female who, during a percutaneous coronary intervention, presented an endothelium trauma of the left main artery's aorta-ostial transition by the tip of the guide catheter, leading to aortic dissection and occlusion of the left main artery with hemodynamic deterioration of the patient. The left main artery's flow was restored with drug-eluting stent implantation leading to a successful sealing of the false lumen with consequent hemodynamic stabilization. Immediate post-procedure transthoracic echocardiography showed a competent aortic valve. The patient evolved favorably and remains asymptomatic after one year. |
publishDate |
2022 |
dc.date.none.fl_str_mv |
2022-12-27 |
dc.type.driver.fl_str_mv |
info:eu-repo/semantics/article info:eu-repo/semantics/publishedVersion Peer reviewed Avaliado pelos pares texto info:eu-repo/semantics/other |
format |
article |
status_str |
publishedVersion |
dc.identifier.uri.fl_str_mv |
https://portalrcs.hcitajuba.org.br/index.php/rcsfmit_zero/article/view/1337 10.21876/rcshci.v12i4.1337 |
url |
https://portalrcs.hcitajuba.org.br/index.php/rcsfmit_zero/article/view/1337 |
identifier_str_mv |
10.21876/rcshci.v12i4.1337 |
dc.language.iso.fl_str_mv |
eng por |
language |
eng por |
dc.relation.none.fl_str_mv |
https://portalrcs.hcitajuba.org.br/index.php/rcsfmit_zero/article/view/1337/856 https://portalrcs.hcitajuba.org.br/index.php/rcsfmit_zero/article/view/1337/857 |
dc.rights.driver.fl_str_mv |
Copyright (c) 2022 Health Sciences Journal https://creativecommons.org/licenses/by-nc-sa/4.0 info:eu-repo/semantics/openAccess |
rights_invalid_str_mv |
Copyright (c) 2022 Health Sciences Journal https://creativecommons.org/licenses/by-nc-sa/4.0 |
eu_rights_str_mv |
openAccess |
dc.format.none.fl_str_mv |
application/pdf application/pdf |
dc.publisher.none.fl_str_mv |
Hospital de Clínicas de Itajubá |
publisher.none.fl_str_mv |
Hospital de Clínicas de Itajubá |
dc.source.none.fl_str_mv |
Health Sciences Journal; v. 12 n. 4 (2022): Outubro a Dezembro de 2022; 71-76 Health Sciences Journal; Vol 12 No 4 (2022): October to December 2022; 71-76 10.21876/rcshci.v12i4 reponame:Revista Ciências em Saúde instname:Hospital de Clínicas de Itajubá instacron:HCI |
instname_str |
Hospital de Clínicas de Itajubá |
instacron_str |
HCI |
institution |
HCI |
reponame_str |
Revista Ciências em Saúde |
collection |
Revista Ciências em Saúde |
repository.name.fl_str_mv |
Revista Ciências em Saúde - Hospital de Clínicas de Itajubá |
repository.mail.fl_str_mv |
rcs@hcitajuba.org.br||rcsfmit@medicinaitajuba.com.br |
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1797068960293715968 |