Managing iatrogenic aortic dissection during primary percutaneous coronary intervention of the left main stem

Iatrogenic aortic dissection post primary percutaneous coronary intervention (PCI) is rare but yet a serious complication. In this report, we present a case of a 40-year-old lady who had an aortic dissection post PCI which was initially missed by the conventional contrast images and required a gated computerized tomography aortogram to confirm the diagnosis. The patient was managed with strict blood pressure control resulting in complete healing of the dissection after 72 hours of the management. The case illustrates the importance of selecting the correct imaging to make an accurate diagnosis when aortic dissection is suspected and outlines the importance of blood pressure control in treating iatrogenic aortic dissections.

Automated summary

This report presents a case of iatrogenic aortic dissection post primary percutaneous coronary intervention (PCI), where the dissection was initially missed by conventional contrast images and required gated computerized tomography aortogram for diagnosis confirmation. The patient achieved complete healing of the dissection after 72 hours of strict blood pressure control. This case emphasizes the importance of selecting the correct imaging modality for accurate diagnosis of aortic dissections and highlights the significance of blood pressure control in treating iatrogenic aortic dissections.