EuroPCR2024-images-A53137HM-life-threatening finding during coronary angiography in a patient with NSTEMI

What are the two most important factors determining prognosis to decide between conservative vs invasive management in an iatrogenic aortocoronary dissection?
Size of the compromised vessel and the integrity of antegrade flow.
Class I or II of the Dunning classification and STEMI scenario.
Extension to aortic root and history of aortic-related connective tissue disorder.
Correct! The correct answer is "Size of the compromised vessel and the integrity of antegrade flow.".
 
An helicoidal dissection of the coronary ostium that extends towards the sinus of Valsalva is observed, with rapid extension towards the ascending aorta (Class III of the Dunning classification).
Good try! The correct answer is "Size of the compromised vessel and the integrity of antegrade flow.".
 
An helicoidal dissection of the coronary ostium that extends towards the sinus of Valsalva is observed, with rapid extension towards the ascending aorta (Class III of the Dunning classification).
 
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