Spontaneous Regression of a Large Iatrogenic Dissection of the Ascending Aorta

Aorta (Stamford). 2016 Dec 1;4(6):226-228. doi: 10.12945/j.aorta.2016.16.009. eCollection 2016 Dec.


A 74-year-old woman was admitted for right coronary angioplasty. During the procedure, she complained about chest pain, and contrast injection showed an iatrogenic dissection of the ascending aorta. A contrast computed tomography (CT) scan confirmed the diagnosis via visualization of a large non-circulating false lumen, which involved nearly the entire ascending aorta. The patient remained hemodynamically stable and asymptomatic while receiving medical therapy alone. Another CT scan performed 3 days later showed complete regression of the false lumen. This case suggests that uncomplicated iatrogenic dissection of the ascending aorta, even when large, may be managed successfully by medical therapy.

Keywords: Aorta; Aortic root; Coronarography; Coronary artery; Iatrogenic Dissection; Intramural hematoma.

Publication types

  • Case Reports