Heart Views

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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


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 2022 May 17 ];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

1Boyle AJ, Chan M, Dib J, Resar J. Catheter-induced coronary artery dissection: Risk factors, prevention and management. J Invasive Cardiol 2006;18:500-3.
2Awadalla 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.