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Surgical Management of Type A Aortic Dissection After Percutaneous Coronary Intervention in a Patient with Acute Myocardial Infarction Due to a Spontaneous Coronary Artery Dissection
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  • Athanasia Makrygianni ,
  • Filippos - Paschalis Rorris,
  • Lydia Kokotsaki ,
  • Konstantinos Velissarios ,
  • Mohammad Salmasi,
  • Thanos Athanasiou,
  • John Kokotsakis
Athanasia Makrygianni
Evangelismos Athens General Hospital
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Filippos - Paschalis Rorris
Evangelismos Athens General Hospital
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Lydia Kokotsaki
Evangelismos Athens General Hospital
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Konstantinos Velissarios
Evangelismos Athens General Hospital
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Mohammad Salmasi
Imperial College London
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Thanos Athanasiou
Imperial College London
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John Kokotsakis
Evangelismos Athens General Hospital
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Abstract

Type A aortic dissection after percutaneous coronary intervention is a rare and life-threatening situation. The reported incidence ranges from 0,02% to 0,6% of all diagnostic and interventional percutaneous procedures. We describe a case of aortic dissection after percutaneous coronary intervention in a patient with acute myocardial infarction from spontaneous coronary artery dissection. The patient was initially treated with primary percutaneous coronary intervention of the affected left coronary artery branches and left main coronary artery. Conservative management for the aortic dissection proved inadequate due to increasing diameter of the false lumen and the patient was referred to our cardiovascular unit for definite surgical management.