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Three Different Cases of Iatrogenic Aortic Dissection Post Right Coronary Artery Angiogram
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  • Marco Gennari,
  • Giorgio Mastroiacovo,
  • Gianluca Polvani,
  • Marco Agrifoglio
Marco Gennari
Centro Cardiologico Monzino Istituto di Ricovero e Cura a Carattere Scientifico
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Giorgio Mastroiacovo
Centro Cardiologico Monzino IRCCS
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Gianluca Polvani
Centro Cardiologico Monzino Istituto di Ricovero e Cura a Carattere Scientifico
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Marco Agrifoglio
Centro Cardiologico Monzino Istituto di Ricovero e Cura a Carattere Scientifico
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Abstract

Iatrogenic acute aortic dissection during percutaneous coronary intervention is an extremely rare but potentially life-threatening complication occurring in less than < 0,02% of the procedures. We report the cases of 3 patients with aortic dissection during percutaneous coronary intervention successfully treated with an emergent ascending aorta replacement. The main goal is the closing of the intimal tear as fast as possible damage either with a percutaneous system (i.e. a proximal stent) or with an open heart open surgery to prevent the extension of the dissection and neurological. A conservative strategy should be pursuit only in small localized sinus dissections.