Managing Iatrogenic Aortic Dissection: Insight from 3D-holographic Imaging and CT Computational Fluid Dynamic Simulations

Tsung-Ying Tsai; Xiao-Jing Guo; Shigetaka Kageyama; Ruth P Lim; Kaoru Tanaka; Johan De Mey; Mark La Meir; Yoshinobu Onuma; Eric K W Poon; Patrick W Serruys

doi:10.1016/j.jacc.2024.04.040

Managing Iatrogenic Aortic Dissection: Insight from 3D-holographic Imaging and CT Computational Fluid Dynamic Simulations

J Am Coll Cardiol. 2024 May 1:S0735-1097(24)07129-8. doi: 10.1016/j.jacc.2024.04.040. Online ahead of print.

Authors

Affiliations

¹ Corrib Research Centre for Advanced Imaging and Core Laboratory, University of Galway, Galway, Ireland; Taichung Veterans General Hospital, Taichung, Taiwan.
² Department of Mechanical Engineering, Faculty of Engineering and Information Technology, The University of Melbourne, Melbourne, Australia.
³ Corrib Research Centre for Advanced Imaging and Core Laboratory, University of Galway, Galway, Ireland.
⁴ Department of Radiology, Austin Health, Heidelberg, Australia; Department of Radiology, Melbourne Medical School, The University of Melbourne, Melbourne, Australia.
⁵ Department of Radiology, University Hospital Brussels, Belgium.
⁶ Universitair Ziekenhuis Brussel, VUB, Brussels, Belgium.
⁷ Department of Medicine, St Vincent's Hospital, Melbourne Medical School, Faculty of Medicine, Dentistry and Health Science, The University of Melbourne, Melbourne, Australia.
⁸ Corrib Research Centre for Advanced Imaging and Core Laboratory, University of Galway, Galway, Ireland. Electronic address: patrick.serruys@universityofgalway.ie.

PMID: 38754705
DOI: 10.1016/j.jacc.2024.04.040

Abstract

Iatrogenic aortic dissection is a rare but life-threatening complication of coronary artery bypass surgery. We report a case with incidentally detected iatrogenic aortic dissection related to aorta cross-clamping successfully managed with watchful follow-up. The decision-making was based on 3D hologram and fluid dynamic analysis guidance.

Keywords: Iatrogenic aortic dissection; computational fluid dynamics; coronary computer tomography angiogram (CCTA); hologram; shear stress; virtual reality.

Publication types

Case Reports