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Conservative Treatment of Iatrogenic Ascending Aortic Hematoma Post-Rotablator Coronary Procedure

Background  Aortic intramural hematoma due to coronary artery dissection is a rare and serious complication during percutaneous coronary intervention. Case Presentation  A 78-year-old female patient was admitted for diagnostic coronarography in the context of stable angina. The coronarography showed...

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Detalles Bibliográficos
Autores principales: Doutriaux, Maxime, Pariente, Benjamin, Zahnan, Jad, Marchand, Xavier
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Georg Thieme Verlag KG 2020
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7550208/
https://www.ncbi.nlm.nih.gov/pubmed/33062582
http://dx.doi.org/10.1055/s-0040-1715431
Descripción
Sumario:Background  Aortic intramural hematoma due to coronary artery dissection is a rare and serious complication during percutaneous coronary intervention. Case Presentation  A 78-year-old female patient was admitted for diagnostic coronarography in the context of stable angina. The coronarography showed an asymmetric and significate calcification in the ostium of the right coronary requiring Rotablator (Boston Scientific) procedure complicated by iatrogenic ascending aortic hematoma. After surgical advice, a conservative approach was decided with total hematoma resorption and recovery 1 week later. Conclusion  With stable patient, conservative treatment may be suitable after aortic hematoma due to coronary dissection.