Successful Percutaneous Management of Iatrogenic Left Main Coronary Artery and Ascending Aorta Dissection

Ricardo Costa; Bruno Brochado; João Silveira; Henrique C Carvalho; Severo Torres

doi:10.1016/j.jaccas.2022.02.004

Successful Percutaneous Management of Iatrogenic Left Main Coronary Artery and Ascending Aorta Dissection

JACC Case Rep. 2022 Apr 6;4(7):415-417. doi: 10.1016/j.jaccas.2022.02.004.

Authors

Ricardo Costa¹, Bruno Brochado¹, João Silveira¹, Henrique C Carvalho¹, Severo Torres¹

Affiliation

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

Abstract

Iatrogenic left main coronary artery and aortic root dissection is a rare but life-threatening complication of percutaneous coronary intervention. This is a case where this complication was induced by catheter manipulation. Prompt percutaneous closure of the dissection point of entry was effective in managing this complication. (Level of Difficulty: Advanced.).

Keywords: CT, computed tomography; CX, circumflex artery; LAD, left anterior descending artery; LM, left main coronary artery; OM, obtuse marginal coronary artery; PCI, percutaneous coronary intervention; RCA, right coronary artery; coronary angiography; dissection; percutaneous coronary intervention.