Significant left main coronary artery disease from iatrogenic dissection during coronary angiography

International Journal of Cardiology
Jae-Hwan LeeJin-Ok Jeong

Abstract

Though atherosclerotic obstruction is the major cause of the obstructive left main coronary artery (LMCA) disease, it can be associated with iatrogenic dissection during coronary angiography. Here we report a case with severe LMCA stenosis due to catheter induced dissection in a 77-year-old man which was detected 9 months later. By careful review of the angiogram had taken at 9 months ago, the LMCA was injured by the diagnostic left Judkin's catheter during the first coronary angiography. The initial lesion was neglected and the dissection got worse with time. The patient was successfully treated with two drug-eluting stents by crushing technique and discharged without further complication.

References

Jan 1, 1986·Catheterization and Cardiovascular Diagnosis·J D SlackC M Orr
Nov 1, 1993·Catheterization and Cardiovascular Diagnosis·J A Garcia-RoblesJ L Delcan
Jan 8, 2000·Catheterization and Cardiovascular Interventions : Official Journal of the Society for Cardiac Angiography & Interventions·S M Al-SaifL S Dean
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May 11, 2007·International Journal of Cardiology·Cheng-I ChengChih-Yuan Fang
Dec 3, 2008·International Journal of Cardiology·Andrew J S Coats

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Citations

Sep 13, 2013·Journal of Cardiovascular Disease Research·Srinivas C BadnurCholenahally Nanjappa Manjunath
Feb 28, 2014·EuroIntervention : Journal of EuroPCR in Collaboration with the Working Group on Interventional Cardiology of the European Society of Cardiology·Shimpei NakataniPatrick W Serruys

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