CC BY-NC-ND 4.0 · Thorac Cardiovasc Surg Rep 2020; 09(01): e47-e50
DOI: 10.1055/s-0040-1715431
Case Report: Vascular

Conservative Treatment of Iatrogenic Ascending Aortic Hematoma Post-Rotablator Coronary Procedure

Maxime Doutriaux
1  Department of Cardiology, CHI Poissy-Saint-Germain-en-Laye Site Hospitalier de Poissy, Poissy, France
,
Benjamin Pariente
1  Department of Cardiology, CHI Poissy-Saint-Germain-en-Laye Site Hospitalier de Poissy, Poissy, France
,
Jad Zahnan
1  Department of Cardiology, CHI Poissy-Saint-Germain-en-Laye Site Hospitalier de Poissy, Poissy, France
,
Xavier Marchand
1  Department of Cardiology, CHI Poissy-Saint-Germain-en-Laye Site Hospitalier de Poissy, Poissy, France
› Author Affiliations
  

Abstract

Background Aortic intramural hematoma due to coronary artery dissection is a rare and serious complication during percutaneous coronary intervention.

Case Presentation A 78-year-old female patient was admitted for diagnostic coronarography in the context of stable angina. The coronarography showed an asymmetric and significate calcification in the ostium of the right coronary requiring Rotablator (Boston Scientific) procedure complicated by iatrogenic ascending aortic hematoma. After surgical advice, a conservative approach was decided with total hematoma resorption and recovery 1 week later.

Conclusion With stable patient, conservative treatment may be suitable after aortic hematoma due to coronary dissection.



Publication History

Received: 29 April 2020

Accepted: 26 May 2020

Publication Date:
12 October 2020 (online)

© 2020. The Author(s). This is an open access article published by Thieme under the terms of the Creative Commons Attribution-NonDerivative-NonCommercial-License, permitting copying and reproduction so long as the original work is given appropriate credit. Contents may not be used for commercial purposes, or adapted, remixed, transformed or built upon. (https://creativecommons.org/licenses/by-nc-nd/4.0/).

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