Papillary muscle rupture may occur even in patients with small or no myocardial ischemic lesion, and it also arise from iatrogenic complications. We report a case of papillary following artery dissection, that apparently occurred due to catheter intervention. An 83-year-old woman stable angina pectoris underwent percutaneous coronary Coronary dissection during the procedure; however, she showed...

A 40-year-old female presented to a rural hospital with crushing substernal chest pain. An initial electrocardiogram showed ST elevation in lead II and aVF with elevated troponin I. She was immediately transferred to a tertiary care hospital. An emergent coronary angiogram did not show any significant coronary artery disease. On the second day, the patient experienced recurrence of severe chest...

Spontaneous coronary artery dissection is a rare cause of acute coronary syndrome and sudden cardiac death. The incidence, causes, pathogenesis, and treatment have not been defined clearly, but spontaneous coronary artery dissection should be considered in young patients without major cardiovascular risk factors or in patients in the peripartum period who present with acute coronary syndrome. T...

Coronary artery dissection is a rare cause of acute coronary syndrome with affection of Left Main Coronary artery in such case is rarest of rare in clinical practice.This rare diagnosis is rarely thought of as a cause of STEMI. Routine Thrombolysis in such cases can be a double edged sword by increasing the progression of dissection and can be catastrophic!

Spontaneous coronary dissection is a rare condition, more frequently appearing in young people and that may determine stable or instable angina, heart attack, cardiogenic shock or sudden death. Women are more affected than men, especially the ones in the peripartum period. The pathologic mechanism is not at all known but it seems that atherosclerosis, connective tissue conditions and the peri-d...

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 infusio...

Introduction: Iatrogenic aortocoronary dissection (ACD) is a nightmare in interventional cardiology. Although ACD is rarely reported, the real-world prevalence is suspected of being higher due to unreported cases. The right coronary artery (RCA) ostium is involved in the majority of cases, and dissections are usually limited to the aortic sinus in half of the clinical presentat...

A 76-year-old woman underwent a Bentall procedure for acute aortic dissection. A dissection involving half of the proximal portion of the left main coronary artery trunk was confirmed. The dissected site was resected, and a section of the superficial femoral artery was harvested and used as an interposition graft between conduit and the residual left main trunk. Two years after surgery, the gra...