Dual Percutaneous Management of Dunning Type III Iatrogenic Aortic Dissection During PCI: A Case Report

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ID: 322983
2026
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Abstract
Abstract Background Iatrogenic aortocoronary dissection (IACD) is an uncommon but potentially life-threatening complication of percutaneous coronary intervention (PCI). Case summary We report the case of a 64-year-old male who developed IACD (Dunning type II) during PCI of right coronary artery. Initial bailout with drug-eluting (DSE) stents implantation but failed to completely exclude a retrograde tear into the aortic root. A larger covered stent (CS) was successfully deployed at the ostium halting the progression of the aortic dissection. Conclusion This case highlights that for PCI-induced IACD refractory to conventional DES, a CS provides a definitive barrier to halt dissection. A prompt percutaneous bailout, reinforced by strict hemodynamic control and surgical standby, is crucial for managing this catastrophic complication.
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Authors Lin Chen, Fandy Santoso Budiardjo, Xiaofang Chen, Huiyuan Kang, Ye Cheng
Journal European Heart Journal - Case Reports
Year 2026
DOI
10.1093/ehjcr/ytag572
URL
https://doi.org/10.1093/ehjcr/ytag572
Keywords Keywords not found

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