Vladimir Ganyukov, Nikita Kochergin and Olga Barbarash
Extensive Retrograde Coronary Dissection into the Ascending Thoracic Aorta, Clinical Case Report
Retrograde dissection extending into the ascending thoracic aorta is a life threatening complication during percutaneous coronary intervention (PCI). This form of severe coronary dissection is very rarely observed. Aortic dissection extending >40 mm up the aorta in hemodynamically unstable patients is usually treated by а surgical intervention. We present a case of coronary artery dissection during a PCI where retrograde dissection extending progressively into the ascending thoracic aorta was observed. The complication was accompanied by hemodynamic instability but was successfully treated with stenting without an operation.
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