A PICTURE IS WORTH A THOUSAND WORDS
Year : 2013 | Volume
: 14 | Issue : 2 | Page : 90--91
Catheter-induced spiral dissection of the left main coronary artery
Ashfaq Patel, Abdul R Arabi, Fahad Alkindi
Department of Cardiology, Heart Hospital, Hamad Medical Corporation, Doha, Qatar
Correspondence Address:
Ashfaq Patel
Department of Cardiology, Heart Hospital, Hamad Medical Corporation, Doha
Qatar
How to cite this article:
Patel A, Arabi AR, Alkindi F. Catheter-induced spiral dissection of the left main coronary artery.Heart Views 2013;14:90-91
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How to cite this URL:
Patel A, Arabi AR, Alkindi F. Catheter-induced spiral dissection of the left main coronary artery. Heart Views [serial online] 2013 [cited 2023 Dec 5 ];14:90-91
Available from: https://www.heartviews.org/text.asp?2013/14/2/90/115494 |
Full Text
A 44-year-old female with a history of chronic tobacco use presented with non-ST segment elevation myocardial infarction (NSTEMI) and atrial fibrillation, complicated by ventricular fibrillation (VF) arrest. At coronary angiography, the first injection in the left coronary artery revealed normal coronary arteries [Figure 1]a and b. On the following injection, a coronary dissection cap appeared at the tip of the catheter [Figure 2]a, which extended antegradely on subsequent injections [Figure 2]b. She successfully underwent emergency aorto-coronary bypass graft surgery and was discharged 6 days later. {Figure 1}{Figure 2}
Coronary artery dissection is a rare but potentially catastrophic complication of coronary angiography.
Management includes conservative treatment, coronary stenting, or coronary artery bypass graft surgery. [1],[2]
References
| 1 | Boyle AJ, Chan M, Dib J, Resar J. Catheter-induced coronary artery dissection: Risk factors, prevention and management. J Invasive Cardiol 2006;18:500-3. |
| 2 | Awadalla H, Salloum JG, Smalling RW, Sdringola S. Catheter induced dissection of the left main coronary artery with and without extension to the aortic root: A report of two cases and a review of the literature. J Interv Cardiol 2004;17:253-7. |
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