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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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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
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author Doutriaux, Maxime
Pariente, Benjamin
Zahnan, Jad
Marchand, Xavier
author_facet Doutriaux, Maxime
Pariente, Benjamin
Zahnan, Jad
Marchand, Xavier
author_sort Doutriaux, Maxime
collection PubMed
description 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.
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spelling pubmed-75502082020-10-14 Conservative Treatment of Iatrogenic Ascending Aortic Hematoma Post-Rotablator Coronary Procedure Doutriaux, Maxime Pariente, Benjamin Zahnan, Jad Marchand, Xavier Thorac Cardiovasc Surg Rep 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. Georg Thieme Verlag KG 2020-01 2020-10-12 /pmc/articles/PMC7550208/ /pubmed/33062582 http://dx.doi.org/10.1055/s-0040-1715431 Text en The Author(s). This is an open access article published by Thieme under the terms of the Creative Commons Attribution-NonDerivative-NonCommercial-License, permitting copying and reproduction so long as the original work is given appropriate credit. Contents may not be used for commercial purposes, or adapted, remixed, transformed or built upon. ( https://creativecommons.org/licenses/by-nc-nd/4.0/ ). https://creativecommons.org/licenses/by-nc-nd/4.0/ This is an open-access article distributed under the terms of the Creative Commons Attribution-NonCommercial-NoDerivatives License, which permits unrestricted reproduction and distribution, for non-commercial purposes only; and use and reproduction, but not distribution, of adapted material for non-commercial purposes only, provided the original work is properly cited.
spellingShingle Doutriaux, Maxime
Pariente, Benjamin
Zahnan, Jad
Marchand, Xavier
Conservative Treatment of Iatrogenic Ascending Aortic Hematoma Post-Rotablator Coronary Procedure
title Conservative Treatment of Iatrogenic Ascending Aortic Hematoma Post-Rotablator Coronary Procedure
title_full Conservative Treatment of Iatrogenic Ascending Aortic Hematoma Post-Rotablator Coronary Procedure
title_fullStr Conservative Treatment of Iatrogenic Ascending Aortic Hematoma Post-Rotablator Coronary Procedure
title_full_unstemmed Conservative Treatment of Iatrogenic Ascending Aortic Hematoma Post-Rotablator Coronary Procedure
title_short Conservative Treatment of Iatrogenic Ascending Aortic Hematoma Post-Rotablator Coronary Procedure
title_sort conservative treatment of iatrogenic ascending aortic hematoma post-rotablator coronary procedure
url 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
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