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| A PICTURE IS WORTH A THOUSAND WORDS |
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| Year : 2013 | Volume
: 14
| Issue : 2 | Page : 90-91 |
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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
| Date of Web Publication | 23-Jul-2013 |
Correspondence Address:
Ashfaq Patel
Department of Cardiology, Heart Hospital, Hamad Medical Corporation, Doha
Qatar
 Source of Support: None, Conflict of Interest: None  | Check |
DOI: 10.4103/1995-705X.115494
How to cite this article:
Patel A, Arabi AR, Alkindi F. Catheter-induced spiral dissection of the left main coronary artery. Heart Views 2013;14:90-1 |
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.
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. 
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| 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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[Figure 1], [Figure 2]
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