Surgical treatment of aortic dissection occurring during coronary angioplasty: a report of two cases

Levent Yılık, Banu Lafcı, İbrahim Özsöyler, Bilgin Emrecan, Ali Gürbüz

Department of Cardiovascular Surgery, İzmir Atatürk Training and Research Hospital, İzmir

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Iatrogenic acute dissections of the ascending aorta following percutaneous vascular interventions are rare. Although patients with limited aortic involvement can be treated with stenting of the entry site of the coronary dissection, hemodynamically unstable patients with aortic dissection of retrograde extension to the aorta require surgical intervention. We presented two patients who underwent successful operative treatment for coronary dissections with retrograde extension to the ascending aorta, which occurred as a complication of coronary angioplasty.

Keywords : Aneurysm, dissecting/surgery; angioplasty/complications; aortic disease; coronary disease

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