Iatrogenic coronary artery dissection: A surgical perspective
2020
Iatrogenic aortocoronary dissection is a rare but potentially fatal complication of coronary
catheterizations. Although the incidence is comparatively low, dissection often leads to procedure
failure with increased risk of myocardial infarction and death. Iatrogenic aortocoronary dissection
is principally caused by disruption of intima at the ostia of the right or left coronary artery during
interventional procedures and appears as luminal filling defects, the persistence of contrast or intimal
tear outside the coronary lumen.
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