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Direct Re-implantation of Left Coronary Artery into the Aorta in Adults with Anomalous Origin of Left Coronary Artery from the Pulmonary Artery ALCAPA
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Successful Percutaneous Management of Iatrogenic Left Main Coronary Artery and Ascending Aorta Dissection

Ricardo Costa1, Bruno Brochado1, João Silveira1

  • 1Department of Cardiology, Centro Hospitalar Universitário do Porto, Porto, Portugal.

JACC. Case Reports
|June 13, 2022
PubMed

Insights

Iatrogenic left main coronary artery dissection during percutaneous coronary intervention is a rare complication. Prompt percutaneous closure effectively managed this life-threatening dissection.

Area of Science:

  • Cardiology
  • Interventional Cardiology
  • Vascular Surgery

Background:

  • Iatrogenic left main coronary artery dissection is a rare but severe complication.
  • It can arise during percutaneous coronary intervention due to catheter manipulation.
  • This complication carries a high risk of mortality.

Purpose of the Study:

  • To report a case of iatrogenic left main coronary artery and aortic root dissection.
  • To highlight the effectiveness of percutaneous closure in managing this complication.

Main Methods:

  • A case study detailing the occurrence of dissection during catheter manipulation.
  • Intervention involved prompt percutaneous closure of the dissection entry point.

Main Results:

  • The percutaneous closure of the dissection entry point was successful.
  • This intervention effectively managed the iatrogenic left main coronary artery and aortic root dissection.

Conclusions:

  • Prompt percutaneous closure is an effective strategy for managing iatrogenic left main coronary artery and aortic root dissection.
  • This approach can mitigate the life-threatening risks associated with this complication.

Keywords:
CT, computed tomographyCX, circumflex arteryLAD, left anterior descending arteryLM, left main coronary arteryOM, obtuse marginal coronary arteryPCI, percutaneous coronary interventionRCA, right coronary arterycoronary angiographydissectionpercutaneous coronary intervention

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