Significant left main stenosis following asymptomatic dissection during coronary arteriography.
The natural history of minimally symptomatic or asymptomatic iatrogenic coronary dissection is not well-defined. While generally considered a serious and life-threatening complication of coronary arteriography, there have been some reported cases of spontaneous resolution without residuals. We describe a case demonstrating that coronary artery dissection, even when initially asymptomatic, may later progress and result in significant or complete coronary occlusion. The implications of this are discussed.
D000784:Aortic Dissection / Q000150:complications* / Q000000981:diagnostic imaging; D000787:Angina Pectoris / Q000209:etiology*; D017023:Coronary Angiography; D001026:Coronary Artery Bypass; D003327:Coronary Disease / Q000150:complications* / Q000000981:diagnostic imaging; D006801:Humans; D008297:Male; D008875:Middle Aged