Levent YILIK, Banu LAFCI, İbrahim ÖZSÖYLER, Bilgin EMRECAN, Ali GÜRBÜZ

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

Perkütan vasküler girişimi takiben gelişen akut iyatrojenik çıkan aort disseksiyonları nadirdir. Aortun sınırlı olarak etkilendiği durumlarda koroner disseksiyon giriş yerinin stentlenmesi yeterliyken, aorta retrograd ilerleme gösteren disseksiyonlarda ve hemodinamik olarak instabil hastalarda cerrahi girişim gerekir. Bu yazıda, koroner anjiyoplasti komplikasyonu olarak gelişen ve çıkan aorta retrograd uzanım gösteren koroner disseksiyonların cerrahi olarak başarıyla tedavi edildiği iki olgu sunuldu.

Koroner anjiyoplasti sırasında gelişen aort disseksiyonunun cerrahi tedavisi: İki olgu sunumu

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.

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