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Aortic dissection occurring during coronary angioplasty: Angiographic and transesophageal echocardiographic findings

✍ Scribed by Alfonso, Fernando ;Almería, Carlos ;Fernández-Ortíz, Antonio ;Segovia, Javier ;Ferreirós, Joaquín ;Goicolea, Javier ;Hernández, Rosana ;Bañuelos, Camino ;Gil-Aguado, Manuel ;Macaya, Carlos


Publisher
John Wiley and Sons
Year
1997
Tongue
English
Weight
235 KB
Volume
42
Category
Article
ISSN
0098-6569

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✦ Synopsis


A localized acute aortic dissection was produced in 2 patients, complicating coronary angioplasty. In both cases a coronary dissection provided the entry door, with subsequent retrograde progression of the dissection into the aortic root. After sealing the entry door, both patients could be managed conservatively using transesophageal echocardiography to accurately define the location of the intimal flap and to rule out dissection progression.