Retrograde iatrogenic left main dissection

Operative treatment after iatrogenic left main dissection.

Coronary dissection has a significant morbidity and mortality. The ideal management of acute coronary occlusion is the prompt restoration of the vessel patency to limit the extent and duration of ischemia. In the setting of dissection during percutaneous procedure, the usual approach has been emergency aortocoronary bypass surgery. The authors present a case of a patient with left main dissecti...

Iatrogenic left main coronary artery dissection mimicking complete proximal occlusion of the left main branches.

emergency coronary artery bypass graft surgery for iatrogenic left main coronary artery dissection

iatrogenic coronary artery dissection during coronary angiography with or without rupture is a rare but feared complication . we herein report a case of iatrogenic left main coronary artery dissection in a 49-year-old female. admitted to our hospital with a recent history of severe hypotension, she develpled apnea during angiography. she was intubated  and resuscitated with an epinephrine infus...

Immediate bail-out TAP-stenting for the treatment of iatrogenic aortocoronary dissection involving left main bifurcation

Iatrogenic aortocoronary dissection is a rare but potentially disastrous complication of percutaneous coronary intervention. The left main dissection extending into distal bifurcation involving both the left anterior descending and left circumflex is a complex and vital complication, which is classified as Eshtehardi Type II dissection. We presented a case of iatrogenic left main coronary arter...

Successful management of iatrogenic retrograde dissection into the aortic root

Case-1 A 60-year-old male patient with persistent chest pain was admitted to our hospital with non-STEMI. CAG performed via the right femoral approach and decided to LAD mid critical lesion intervention. The left main coronary artery (LMCA) was cannulated with a 6F JL4-guiding catheter, and a stent was successfully deployed in an LAD lesion. A circumflex (Cx) proximal flow-limiting dissection w...