The authors report a case of a forty-three-year-old woman with an extensive iatrogenic dissection of the aorta, from the iliac artery to the ascending aorta, not associated with atherosclerosis or previous aortic dissection, as a complication of retrograde arterial catheterization. The authors emphasize the need to take all cautions in performing this procedure to avoid serious complications such as the present one.
Get full access to this article
View all access options for this article.
References
1.
Tsukube T., Yamaguchi M., Hosokawa Y., et al: A rare case of renovascular hypertension due to iatrogenic thoracoabdominal aortic dissection. A report of successful surgical treatment in childhood . J Cardiovasc Surg31:753-955, 1990.
2.
Cooperative Study on Cardiac Catheterization, ed. by Braunwald E, Swan HJC. Am Heart Assoc Monograph No. 20. Circulation37 Suppl III:1-113, 1968.
3.
Malone SA, Palac R., Murphy E.: Complications of the retrograde left heart catheterization and interventional angiography. In: Complications of Cardiac Catheterization and Angiography: Prevention and Management, ed. by Kron J, Morton MJ.New York: Futura, 1989, pp 35-76.
4.
Noto TJ, Johnson LW, Krone R., et al: Cardiac catheterization 1990: A report of the registry of the Society for Cardiac Angiography and Interventions (SCA & I). Cathet Cardiovasc Diagn24:75-83, 1991.
5.
Williams KR, Johnson J.: Aortic dissection after femoral artery cannulation. Arch Surg89:663-665, 1964.
Rangel AA, Rendón AP, Urrutia MA, et al: Vigencia del cateterismo transeptal. Rev Med IMSS Méx25:353-360, 1987.
8.
Chanine RA, Herman MV, Gorlin, R.: Complications of coronary arteriography: Comparison of the brachial to femoral approach. Ann Int Med76:862, 1972.
9.
Campiom BC, Frye RL, Pluth JS, et al: Arterial complications of retrograde brachial arterial catheterization. A prospective study. Mayo Clin Proc46:589-592, 1971.
10.
Green GS, McKinnon CM, Rösch J., et al: Complications of selective percutaneous transfemoral coronary arteriography and their prevention. A review of 445 consecutive examinations . Circulation45:552-557, 1972.
11.
Johnson LW, Loztner EC, Johnson S., et al: Coronary arteriography 1984-1987: A report of the registry of the Society for Cardiac Angiography and Interventions I. Results and complications . Cathet Cardiovasc Diagn17:5-10, 1989.
