Related Experiment Video

Updated: Mar 24, 2026

Author Spotlight: Enhancing Coronary Artery Revascularization
05:25

Author Spotlight: Enhancing Coronary Artery Revascularization

Published on: September 15, 2023

1.4K

Emergency Coronary Artery Bypass Graft Surgery for Iatrogenic Left Main Coronary Artery Dissection

Masoud Tarbiat1, Gholamreza Safarpoor1

  • 1Ekbatan Heart Hospital, Hamedan University of Medical Sciences, Hamedan, Iran.

The Journal of Tehran Heart Center
|March 18, 2016
PubMed

Insights

A rare complication of coronary angiography, iatrogenic left main coronary artery dissection, occurred in a 49-year-old female. Prompt intervention and surgery led to a full recovery and good function at 18 months.

Area of Science:

  • Cardiology
  • Interventional Cardiology
  • Vascular Surgery

Background:

  • Iatrogenic coronary artery dissection is a rare but serious complication during coronary angiography.
  • Prompt recognition and management are crucial for patient outcomes.

Observation:

  • A 49-year-old female developed apnea during coronary angiography, diagnosed as iatrogenic left main coronary artery dissection.
  • The patient required intubation, Epinephrine resuscitation, and emergency coronary artery bypass graft surgery.

Findings:

  • The patient recovered well following surgery, with no hemodynamic complications in the intensive care unit.
  • At 18 months post-procedure, the patient maintained good daily function and stable condition.

Implications:

  • This case highlights the importance of prompt diagnosis and multidisciplinary management for iatrogenic coronary artery dissection.
  • Successful surgical intervention can lead to excellent long-term outcomes even in severe cases.

Keywords:
Coronary artery bypassCoronary vesselsDissection

More Related Videos

Direct Re-implantation of Left Coronary Artery into the Aorta in Adults with Anomalous Origin of Left Coronary Artery from the Pulmonary Artery ALCAPA13:10

Direct Re-implantation of Left Coronary Artery into the Aorta in Adults with Anomalous Origin of Left Coronary Artery from the Pulmonary Artery ALCAPA

Published on: April 24, 2017

19.4K
Surgical Swine Model of Chronic Cardiac Ischemia Treated by Off-Pump Coronary Artery Bypass Graft Surgery09:12

Surgical Swine Model of Chronic Cardiac Ischemia Treated by Off-Pump Coronary Artery Bypass Graft Surgery

Published on: March 27, 2018

10.0K

Related Concept Videos

Acute Coronary Syndrome IV: Interprofessional Care01:28

Acute Coronary Syndrome IV: Interprofessional Care

IntroductionThe management of Acute Coronary Syndrome (ACS) aims to minimize myocardial damage, preserve myocardial function, and prevent complications.Initial ManagementInpatient management involves continuous cardiac monitoring, preferably in an ICU, focusing on blood pressure, serum sodium, potassium, and creatinine levels, and urine output. Ongoing pharmacologic management is crucial for stabilizing the patient.Supplemental Oxygen: Administer supplemental oxygen if oxygen saturation is...
436
Coronary Artery Disease V: Interprofessional Care01:27

Coronary Artery Disease V: Interprofessional Care

Interprofessional care for coronary artery disease includes pharmacological therapy and revascularization procedures.Pharmacological therapy for Coronary Artery Disease (CAD) aims to manage symptoms, prevent complications, and improve patient outcomes through various classes of medications:Antiplatelet Agents:Aspirin and Clopidogrel: These medications inhibit platelet aggregation, preventing blood clots, which is crucial for avoiding heart attacks and strokes. Doctors often prescribe these...
398