Catheter-induced Left Main Dissection: A Minefield in Interventional Cardiology
Varsha Rakshitha Prakash1, M A Sujith2, Sathyanarayana Rao Prakash2
1Assistant Professor, Department of Cardiology, Ramaiah Medical College, Bengaluru, Karnataka, India, Corresponding Author.
None:
Coronary angiography is an invasive diagnostic procedure used to assess the coronary anatomy. Although rare, iatrogenic coronary artery dissection during coronary catheterization is a dreaded complication. Here we report the case of an 89-year-old patient diagnosed with acute coronary syndrome-Non-ST-segment elevation myocardial infarction, who underwent coronary angiography. During the coronary angiogram, he sustained a fatal left main coronary artery dissection. Here we discuss the interventions attempted to tackle the situation and a review of the approach to managing iatrogenic left main dissections.
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