Logo American Journal of Case Reports

Call: 1.631.629.4328
Mon-Fri 10 am - 2 pm EST

Contact Us

Logo American Journal of Case Reports Logo American Journal of Case Reports Logo American Journal of Case Reports

21 November 2014 : Case report  Brazil

Resolution of an Acute Aortic Syndrome with Aortic Valve Insufficiency Post-PCI

Unusual clinical course, Unusual setting of medical care

Pedro G.M. de Barros e SilvaABDEF, Thiago AquinoABDEF, Marcos V. ResendeABCD, Ivo RichterBC, Cecilia M. BarrosBCD, Vanessa G. AndrioliBCD, Antonio C. BaruzziDEF, Caio C.J. MedeirosDEF, Valter FurlanEFG

DOI: 10.12659/AJCR.891301

Am J Case Rep 2014; 15:508-513

Abstract

BACKGROUND: Acute aortic syndrome is the modern term that includes aortic dissection, intramural hematoma, and symptomatic aortic ulcer. Iatrogenic coronary artery dissection extending to the aorta during percutaneous coronary intervention is a very rare but life-threatening complication. Despite some reports of spontaneous recovery, most of these patients are treated surgically as a spontaneous aortic dissection, especially if there is a complication of the aortic lesion.

CASE REPORT: A 52-year-old white female was submitted to an angioplasty in the right coronary without success and the procedure was complicated by a dissection in aortic root with progressive extension to the ascending aorta. This lesion deformed the aortic valve, leaving it with an acute moderate regurgitation. Because of current use of clopidogrel and clinical stability of the patient, the local Heart Team decided to withdrawn this antiplatelet for 5 days before surgery despite the risk related to the aortic syndrome. A new echocardiogram 3 days later showed that the hematoma was reabsorbed with improvement of the aortic insufficiency. An angiotomography confirmed the reabsorption of the hematoma. The surgery was canceled and the patient was maintained in a conservative treatment and discharged. Seventeen months later, she was re-evaluated and was still asymptomatic without aortic regurgitation in the echocardiogram and showing progressive regression of the aortic hematoma in the tomography.

CONCLUSIONS: Despite the conservative treatment, this case of iatrogenic aortic dissection complicated by an acute aortic regurgitation had a good evolution in a follow-up of 17 months.

Keywords: Acute Coronary Syndrome - surgery, Aneurysm, Dissecting - etiology, Aortic Aneurysm, Thoracic - etiology, Aortic Valve Insufficiency - diagnosis, Coronary Angiography, Echocardiography, Transesophageal, Percutaneous Coronary Intervention - adverse effects, Remission, Spontaneous, Syndrome, Tomography, X-Ray Computed

Add Comment 0 Comments

In Press

Case report  Japan

A Rare Case of Ileocecal Lymph Node Recurrence After Surgery in Siewert’s Classification Type I Esophagogas...

Am J Case Rep In Press; DOI: 10.12659/AJCR.943080  

0:00

Case report  China (mainland)

Destructive Cryptococcal Osteomyelitis Mimicking Tuberculous Spondylitis

Am J Case Rep In Press; DOI: 10.12659/AJCR.944291  

0:00

Case report  USA

Severe Fatal ARDS Due to Untreated Human Granulocytic Anaplasmosis in a 67-Year-Old Man: A Case Report

Am J Case Rep In Press; DOI: 10.12659/AJCR.943966  

Case report  China (mainland)

Optic Neuritis Leading to Vision Loss: A Case of MOG-Associated Disease with Successful Immunotherapy

Am J Case Rep In Press; DOI: 10.12659/AJCR.943112  

Most Viewed Current Articles

07 Mar 2024 : Case report  USA 39,268

Neurocysticercosis Presenting as Migraine in the United States

DOI :10.12659/AJCR.943133

Am J Case Rep 2024; 25:e943133

0:00

10 Jan 2022 : Case report  Germany 31,274

A Report on the First 7 Sequential Patients Treated Within the C-Reactive Protein Apheresis in COVID (CACOV...

DOI :10.12659/AJCR.935263

Am J Case Rep 2022; 23:e935263

23 Feb 2022 : Case report  USA 18,158

Penile Necrosis Associated with Local Intravenous Injection of Cocaine

DOI :10.12659/AJCR.935250

Am J Case Rep 2022; 23:e935250

19 Jul 2022 : Case report  Saudi Arabia 17,956

Atlantoaxial Subluxation Secondary to SARS-CoV-2 Infection: A Rare Orthopedic Complication from COVID-19

DOI :10.12659/AJCR.936128

Am J Case Rep 2022; 23:e936128

Your Privacy

We use cookies to ensure the functionality of our website, to personalize content and advertising, to provide social media features, and to analyze our traffic. If you allow us to do so, we also inform our social media, advertising and analysis partners about your use of our website, You can decise for yourself which categories you you want to deny or allow. Please note that based on your settings not all functionalities of the site are available. View our privacy policy.

American Journal of Case Reports eISSN: 1941-5923
American Journal of Case Reports eISSN: 1941-5923