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
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.