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Netherlands Heart Journal
Published in: Netherlands Heart Journal 4/2011

01-04-2011 | Case Report

Iatrogenic left main coronary artery dissection

Authors: K. Onsea, P. Kayaert, W. Desmet, C. L. Dubois

Published in: Netherlands Heart Journal | Issue 4/2011

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Abstract

We present a case of iatrogenic left main coronary artery dissection, successfully treated by prompt bail-out stenting, and provide a brief discussion on its occurrence and treatment, as well as the immediate and long-term outcome of percutaneous coronary intervention, including our own single-centre experience, for this potentially catastrophic complication.
Literature
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Awadalla H, Sabet S, El Sebaie A, et al. Catheter-induced left main dissection incidence, predisposition and therapeutic strategies experience from two sides of the hemisphere. J Invasive Cardiol. 2005;17(4):233–6.PubMed
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Kovac JD, de Bono DP. Cardiac catheter complications related to left main stem disease. Int J Cardiol. 1999;69(3):299–303.PubMedCrossRef
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Slack JD, Pinkerton CA, VanTassel JW, et al. Left main coronary artery dissection during percutaneous transluminal coronary angioplasty. Cathet Cardiovasc Diagn. 1986;12(4):255–60.PubMedCrossRef
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Cheng CI, Wu CJ, Hsieh YK, et al. Percutaneous coronary intervention for iatrogenic left main coronary artery dissection. Int J Cardiol. 2008;126(2):177–82.PubMedCrossRef
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Lee SW, Hong MK, Kim YH, et al. Bail-out stenting for left main coronary artery dissection during catheter-based procedure: acute and long-term results. Clin Cardiol. 2004;27(7):393–5.PubMedCrossRef
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Garcia-Robles JA, Garcia E, Rico M, et al. Emergency coronary stenting for acute occlusive dissection of the left main coronary artery. Cathet Cardiovasc Diagn. 1993;30(3):227–9.PubMedCrossRef
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Hennessy TG, McCann HA, Sugrue DD. Bailout Palmaz-Schatz stenting for iatrogenic dissection of the left main coronary artery. J Invasive Cardiol. 1996;8:450–2.PubMed
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Cameron J, Aroney C, Bett J, et al. Left main coronary artery dissection during coronary angioplasty or angiography treated by stent insertion without requirement for emergency bypass graft surgery. Aust N Z J Med. 2000;30(6):726–8.PubMedCrossRef
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Al-Saif SM, Liu MW, Al-Mubarak N, et al. Percutaneous treatment of catheter-induced dissection of the left main coronary artery and adjacent aortic wall: a case report. Catheter Cardiovasc Interv. 2000;49(1):86–9.PubMedCrossRef
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Nageh T, Badawi R, Thomas MR, et al. Left main coronary artery dissection detected by intravascular ultrasound following angiographically successful percutaneous coronary intervention. J Invasive Cardiol. 2004;16(5):279–80.PubMed
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Jain D, Kurowski V, Katus HA, et al. Catheter-induced dissection of the left main coronary artery, the nemesis of an invasive cardiologist a case report and review of the literature. Z Kardiol. 2002;91(10):840–5.PubMedCrossRef
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Mulvihill NT, Boccalatte M, Fajadet J, et al. Catheter-induced left main dissection: a treatment dilemma. Catheter Cardiovasc Interv. 2003;59(2):214–6.PubMedCrossRef
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Awadalla H, Salloum JG, Smalling RW, et al. 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(4):253–7.PubMedCrossRef
Metadata
Title
Iatrogenic left main coronary artery dissection
Authors
K. Onsea
P. Kayaert
W. Desmet
C. L. Dubois
Publication date
01-04-2011
Publisher
Bohn Stafleu van Loghum
Published in
Netherlands Heart Journal / Issue 4/2011
Print ISSN: 1568-5888
Electronic ISSN: 1876-6250
DOI
https://doi.org/10.1007/s12471-011-0089-1

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