Non-surgical management of iatrogenic aortic dissection (Dunning class 3) caused by percutaneous coronary intervention

Adam B. Gryko; Małgorzata Chlabicz; Piotr Jakim; Konrad S. Nowak; Hanna Bachórzewska-Gajewska; Sławomir Dobrzycki

doi:10.5114/aic.2021.110928

eISSN: 1897-4295
ISSN: 1734-9338

Advances in Interventional Cardiology/Postępy w Kardiologii Interwencyjnej

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abstract:

Image in intervention

Non-surgical management of iatrogenic aortic dissection (Dunning class 3) caused by percutaneous coronary intervention

Adam B. Gryko

¹

,

Małgorzata Chlabicz

^{1, 2}

,

Piotr Jakim

¹

,

Konrad S. Nowak

¹

,

Hanna Bachórzewska-Gajewska

¹

,

Sławomir Dobrzycki

¹

Department of Invasive Cardiology, Medical University of Bialystok, Bialystok, Poland
Department of Population Medicine and Lifestyle Diseases Prevention, Medical University of Bialystok, Bialystok, Poland

Adv Interv Cardiol 2021; 17, 4 (66): 423–424

DOI: https://doi.org/10.5114/aic.2021.110928

Online publish date: 2021/11/17

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AMA

B. Gryko A, Chlabicz M, Jakim P, S. Nowak K, Bachórzewska-Gajewska H, Dobrzycki S. Non-surgical management of iatrogenic aortic dissection (Dunning class 3) caused by percutaneous coronary intervention. Advances in Interventional Cardiology/Postępy w Kardiologii Interwencyjnej. 2021;17(4):423-424. doi:10.5114/aic.2021.110928.

APA

B. Gryko, A., Chlabicz, M., Jakim, P., S. Nowak, K., Bachórzewska-Gajewska, H.,  & Dobrzycki, S. (2021). Non-surgical management of iatrogenic aortic dissection (Dunning class 3) caused by percutaneous coronary intervention. Advances in Interventional Cardiology/Postępy w Kardiologii Interwencyjnej, 17(4), 423-424. https://doi.org/10.5114/aic.2021.110928

Chicago

B. Gryko, Adam, Małgorzata Chlabicz, Piotr Jakim, Konrad S. Nowak, Hanna Bachórzewska-Gajewska,  and Sławomir Dobrzycki. 2021. "Non-surgical management of iatrogenic aortic dissection (Dunning class 3) caused by percutaneous coronary intervention". Advances in Interventional Cardiology/Postępy w Kardiologii Interwencyjnej 17 (4): 423-424. doi:10.5114/aic.2021.110928.

Harvard

B. Gryko, A., Chlabicz, M., Jakim, P., S. Nowak, K., Bachórzewska-Gajewska, H.,  and Dobrzycki, S. (2021). Non-surgical management of iatrogenic aortic dissection (Dunning class 3) caused by percutaneous coronary intervention. Advances in Interventional Cardiology/Postępy w Kardiologii Interwencyjnej, 17(4), pp.423-424. https://doi.org/10.5114/aic.2021.110928

MLA

B. Gryko, Adam et al. "Non-surgical management of iatrogenic aortic dissection (Dunning class 3) caused by percutaneous coronary intervention." Advances in Interventional Cardiology/Postępy w Kardiologii Interwencyjnej, vol. 17, no. 4, 2021, pp. 423-424. doi:10.5114/aic.2021.110928.

Vancouver

B. Gryko A, Chlabicz M, Jakim P, S. Nowak K, Bachórzewska-Gajewska H, Dobrzycki S. Non-surgical management of iatrogenic aortic dissection (Dunning class 3) caused by percutaneous coronary intervention. Advances in Interventional Cardiology/Postępy w Kardiologii Interwencyjnej. 2021;17(4):423-424. doi:10.5114/aic.2021.110928.

Iatrogenic aortic dissection (IAD) is a rare complication of catheter-based coronary procedures. It occurs with a frequency of 0.006% during coronary angiography and 0.098% during interventional procedures [1]. It more often concerns the right coronary artery (RCA) and patients with acute coronary syndrome. In 2000, Dunning et al. divided IAD into 3 types [2]. Class 1 was limited to the aortic sinus, class 2 involved less than 4 cm of the ascending aorta and class 3, the most dangerous, exceeded 4 cm in length. Therapeutic recommendations for IAD are still scarce, but recent reports suggest that even class 3 IAD can be treated conservatively or by placing a stent [1, 3]. We would like to present a case of iatrogenic aortic dissection (Dunning class 3) as a complication of RCA angioplasty.

Non-surgical management of iatrogenic aortic dissection (Dunning class 3) caused by percutaneous coronary intervention

Adam B. Gryko 1 , Małgorzata Chlabicz 1, 2 , Piotr Jakim 1 , Konrad S. Nowak 1 , Hanna Bachórzewska-Gajewska 1 , Sławomir Dobrzycki 1

Adam B. Gryko

¹

,

Małgorzata Chlabicz

^{1, 2}

,

Piotr Jakim

¹

,

Konrad S. Nowak

¹

,

Hanna Bachórzewska-Gajewska

¹

,

Sławomir Dobrzycki

¹