Aortocoronary Dissection during Diagnostic Coronary Angiography: Treatment with Multiple Stenting of the Coronary Artery

Catheter-induced combined coronary artery- ascending aorta dissection following diagnostic coronary angiography is rare. Localized aortic dissection has been treated by stenting the coronary artery and sealing the entry point. We describe a very long spiral right coronary artery dissection extending to the ascending aorta during coronary angiography. The dissection was limited to the proximal 35mm of the ascending aorta evaluated by Transesophagial echocardiography and was successfully treated by multiple stenting of the right coronary artery including the entry point of the aortic dissection which was monitored by means of echocardiography.