Left Main Coronary Artery Ostial Repair with Autologous Ring‐Shaped Aortic Patch for Iatrogenic Aortic Dissection

Iatrogenic left main coronary artery and aortic root dissection are rare complications during coronary catheterization. A case of catheter‐induced left main coronary artery dissection with subsequent retrograde progression into the ascending aorta wall is reported. The patient was surgically managed with an ascending aorta replacement and left coronary ostial repair with an autologuos aortic wall ring‐shaped patch in the paraostial position in order to seal the intimal tear. doi: 10.1111/jocs.12446 (J Card Surg 2014;29:821–823)

[1]  M. Togni,et al.  Iatrogenic left main coronary artery dissection: incidence, classification, management, and long-term follow-up. , 2010, American heart journal.

[2]  H. Yip,et al.  Percutaneous coronary intervention for iatrogenic left main coronary artery dissection. , 2008, International journal of cardiology.

[3]  G. Rao,et al.  Catheter induced aortocoronary dissection , 2008, Acute cardiac care.

[4]  S. Sdringola,et al.  Catheter-induced dissection of the left main coronary artery with and without extension to the aortic root: a report of two cases and a review of the literature. , 2004, Journal of interventional cardiology.

[5]  J. Marco,et al.  Catheter‐induced left main dissection: A treatment dilemma , 2003, Catheterization and cardiovascular interventions : official journal of the Society for Cardiac Angiography & Interventions.

[6]  J. Lasala,et al.  Aortocoronary dissection complicating a percutaneous coronary intervention. , 2003, The Journal of invasive cardiology.

[7]  W. O’Neill,et al.  Iatrogenic coronary artery dissections extending into and involving the aortic root , 2000, Catheterization and cardiovascular interventions : official journal of the Society for Cardiac Angiography & Interventions.

[8]  L. Dean,et al.  Percutaneous treatment of catheter‐induced dissection of the left main coronary artery and adjacent aortic wall: A case report , 2000, Catheterization and cardiovascular interventions : official journal of the Society for Cardiac Angiography & Interventions.

[9]  U. Sigwart,et al.  Management of aortic dissection complicating coronary intervention. , 1998, Catheterization and Cardiovascular Diagnosis.

[10]  C. Macaya,et al.  Aortic dissection occurring during coronary angioplasty: angiographic and transesophageal echocardiographic findings. , 1997, Catheterization and cardiovascular diagnosis.