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...

Left main coronary artery (LMCA) disease remains an important risk factor for increased mortality and morbidity at all stages of diagnosis and treatment of coronary artery disease. Left main stem pathology is often silent, with unpredictable presentation: as such it poses diagnostic and management challenges. This article reviews the anatomy, epidemiology and diagnosis of left main stem disease...

A 65 year old man, smoker, presented with a history of exertional shortness of breath over the last 4 months. He denied any chest discomfort. On examination jugular venous distension was noted with bilateral basal crackles. He got symptomatic relief after treatment with diuretics and nitrates. His echocardiogramme revealed global hypokinesia of left ventricle with severe mitral regurgitation. H...

Congenital anomalies of the coronary artery causing coronary occlusive disease may be of many different types. A 67-year-old woman with no coronary risk factors was referred for coronary angiography with few months' history of angina. The patient underwent coronary angiography due to ischemic cardiac symptoms with nondiagnostic exercising test. In coronary angiography, the left main coronary ar...