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 Jul 2;84(1):130-136. doi: 10.1016/j.jacc.2024.04.040. Epub 2024 May 14.

Authors

Affiliations

¹ CORRIB Research Centre for Advanced Imaging and Core Laboratory, University of Galway, Galway, Ireland; Cardiovascular Center, Taichung Veterans General Hospital, Taichung, Taiwan.
² Department of Mechanical Engineering, Faculty of Engineering and Information Technology, The University of Melbourne, Melbourne, Victoria, Australia.
³ CORRIB Research Centre for Advanced Imaging and Core Laboratory, University of Galway, Galway, Ireland.
⁴ Department of Radiology, Austin Health, Heidelberg, Victoria, Australia; Department of Radiology, Melbourne Medical School, The University of Melbourne, Melbourne, Victoria, Australia.
⁵ Department of Radiology, University Hospital Brussels, Brussels, Belgium.
⁶ Department of Cardiac Surgery, University Hospital Brussels, Free University Brussels, Brussels, Belgium.
⁷ Department of Medicine, St Vincent's Hospital, Melbourne Medical School, The University of Melbourne, Melbourne, Victoria, Australia.
⁸ CORRIB Research Centre for Advanced Imaging and Core Laboratory, University of Galway, Galway, Ireland. Electronic address: [email protected].

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 that was successfully managed with watchful follow-up. The decision making was based on 3-dimensional holographic and fluid dynamic analysis guidance.

Keywords: computational fluid dynamics; coronary computed tomography angiogram (coronary CTA); hologram; iatrogenic aortic dissection; shear stress; virtual reality.

Publication types

Case Reports

MeSH terms

Aged
Aortic Aneurysm, Thoracic / diagnosis
Aortic Aneurysm, Thoracic / diagnostic imaging
Aortic Aneurysm, Thoracic / surgery
Aortic Dissection* / diagnostic imaging
Aortic Dissection* / etiology
Aortic Dissection* / surgery
Coronary Artery Bypass* / adverse effects
Female
Holography* / methods
Humans
Hydrodynamics
Iatrogenic Disease*
Imaging, Three-Dimensional*
Male
Tomography, X-Ray Computed