We report a 63-year-old female with hypertension, hyperlipidemia, and prior pacemaker insertion for atrial fibrillation with symptomatic bradycardia, who was admitted with substernal chest pressure and diaphoresis. Her electrocardiogram revealed atrial fibrillation with demand ventricular pacing and her cardiac biomarkers were negative for acute coronary syndrome. Echocardiogram revealed normal...

spontaneous coronary artery dissection (scad) is a rare and important cause of acute coronary syndrome and sudden cardiac death. various etiologies are thought to be responsible for this condition, among which underlying atherosclerosis seems to be the most common. scad is predominant in women and is usually diagnosed via coronary artery angiography. therapeutic interventions include medical th...

INTRODUCTION Spontaneous coronary artery dissection is a sudden separation between the layers of a coronary artery wall, non-iatrogenic or trauma related, that has been recognized as an important cause of myocardial infarction. OBJECTIVE To report an emblematic case, in terms of angiographic images, clinical presentation and predisposing factors, whose clinical management failure led to surgi...

Pseudoaneurysms rarely occur as a serious complication following incomplete hemostasis of an arterial puncture site. As a result of the increase in diagnostic and therapeutic angiography, the frequency of iatrogenic pseudoaneurysm has increased as well. Iatrogenic pseudoaneurysms associated with angiographic catheterization occur most commonly in the common femoral artery. Here we report a case...

We report a case of a 46-year-old woman with hypertension and autosomal dominant polycystic kidney disease who presented with chest pain and was found to have spontaneous coronary artery dissection (SCAD) on diagnostic catheterization. We review the pathogenesis, management and prognosis of SCAD. We conclude that in patients with polycystic kidney disease who present with angina pectoris and po...

The growing use of the transradial approach for percutaneous coronary interventions has been shown to decrease the risk of major vascular complications. However, in this case report we describe a iatrogenic left main dissection during diagnostic coronary catheterization, which remains a rare, but still life-threatening condition. The adjunctive use of intravascular ultrasound may assist in the ...

conclusions no significant variance was observed among patients underwent for cardiac catheterization, stemi, nstemi, unstable angina, and atrial fibrillation with respect to ft4, ft3, and tsh levels during coronary care unit hospitalization based on their profile data. results excluding those taking thyroid hormone preparations, 76.7% of patients admitted with acute coronary heart disease (st-...

Type A aortic dissection involves high mortality and typically requires surgery. Although it is usually spontaneous, cases have been observed after surgical procedures and, less frequently, interventional procedures. Due to its low frequency (< 0.1%), there are few data on this topic. In 2002, the International Registry of Acute Aortic Dissection (IRAD) reported 26 cases (69% postoperative and ...

BackgroundSpontaneous coronary artery dissection (SCAD) is a non-atherosclerotic cause of acute syndrome (ACS) that affects women disproportionately. Previous case series have found patients with SCAD undergoing cardiac catheterisation high rates iatrogenic damage. We formally compared the rate in and without over 11-year period.MethodsWomen were identified by search database 2007–2017 for keyw...

Cardiac surgical procedure and catheter intervention of the aorta or its major branches have a potential risk for iatrogenic aortic dissection. This case demonstrates an iatrogenic type A aortic dissection after the elective balloon angioplasty for severe stenosis of the left subclavian artery orifice. The dissection retrospectively extended to the ascending aorta, and intramural hematoma was o...