Management of thrombotic events secondary to cardiac interventions - Conservative management for an extensive type A aortic dissection complicating coronary angioplasty

Aortic dissection is a recognized, though rare complication of percutaneous revascularization procedures. We report a case of an extensive type A diss ection that occurred during an attempt to recanalize a chronic total occlus ion of a right coronary artery. The patient was treated conservatively and was followed for 36 months, during which he remained well. We conclude that , even though surgery remains the preferred option, conservative management could also be considered in certain patients.