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Catheter induced aortocoronary dissection
Gopala Krishna Rao1, Arulnithi Ayyanthan, Gershan Davis
1Department of Cardiology, University Hospital Aintree, Liverpool, UK. gopala.rao@aintree.nhs.uk
Insights
Catheter-induced coronary artery dissection is a rare complication. This case report details a patient experiencing left main coronary artery dissection extending to the aorta after diagnostic angiography.
Area of Science:
- Cardiology
- Interventional Cardiology
- Vascular Medicine
Background:
- Catheter-induced coronary artery dissection is an infrequent complication during cardiac procedures.
- Underreporting may contribute to the perceived rarity of this adverse event.
Observation:
- A patient developed dissection of the left main coronary artery.
- The dissection extended proximally into the ascending aorta.
Findings:
- The complication occurred subsequent to a diagnostic coronary angiography procedure.
- Potential mechanisms contributing to the dissection are discussed.
Implications:
- Highlights the importance of recognizing and managing catheter-induced coronary artery dissection.
- May prompt further investigation into the underlying mechanisms and preventative strategies.
Abstract:
Catheter induced coronary dissection is an uncommon and possibly an underreported complication. We report patient with dissection of left main coronary artery, extending into the ascending aorta following diagnostic angiography and discuss the possible mechanisms.
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