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Iatrogenic acute type A aortic dissection during catheter ablation for idiopathic ventricular premature contraction.

Authors :
Ishida S
Takemoto Y
Kimata R
Yagami K
Source :
Oxford medical case reports [Oxf Med Case Reports] 2024 Sep 22; Vol. 2024 (9), pp. omae110. Date of Electronic Publication: 2024 Sep 22 (Print Publication: 2024).
Publication Year :
2024

Abstract

Acute aortic dissection type A during cardiac catheterization has been reported as a rare but fatal complication. We present a case of acute aortic dissection type A occurring during catheter manipulation in the ascending aorta during mapping of ventricular premature contraction via the retrograde approach. In the present case, transthoracic echocardiography showed no pericardial effusion and no flap of the aorta, but intracardiac echo clearly showed the flap. Enhanced computed tomography revealed the aortic dissection, which extended from the ascending aorta to the bilateral common iliac artery, and the false lumen was thrombosed completely. Emergent surgery was performed and the postoperative course was uneventful, and he was discharged with no complications. Aortic dissection is a rare complication of cardiac catheterization, and early detection could prevent a fatal outcome. It is important to detect the signs and symptoms as quickly as possible and perform various diagnostic examinations.<br />Competing Interests: We have no conflict of interest to declare.<br /> (© The Author(s) 2024. Published by Oxford University Press.)

Details

Language :
English
ISSN :
2053-8855
Volume :
2024
Issue :
9
Database :
MEDLINE
Journal :
Oxford medical case reports
Publication Type :
Academic Journal
Accession number :
39309707
Full Text :
https://doi.org/10.1093/omcr/omae110