Cabrol shunt for iatrogenic aortic dissection: evaluation with cardiac 64-slice CT

A 63-year-old man was admitted with intractable angina and underwent elective coronary angiography. He had a history of percutaneous coronary intervention to the left circumflex artery five years previously. Coronary angiography revealed 90% stenosis of the proximal right coronary artery (RCA) (Panel A) and a 3 mm Cypher stent was placed across the lesion. The procedure was complicated by a RCA dissection with retrograde extension to the ostium and subsequently into the ascending aortic wall (Panel B). The patient was referred for urgent surgical repair. Extensive bleeding was encountered at surgery, and the false lumen of …