title: Imaging of left main trauma during diagnostic cardiac catheterization with intravascular ultrasound.
abstract: In this case report the occurrence of a catheter-induced coronary artery dissection is described. In our patient, angiography showed a mushroom-shaped exudate above the left main coronary artery. Intravascular ultrasound revealed a circular dissection with a huge false lumen connected to the true lumen by a small intimal tear. A brief review of the literature on catheter-induced coronary dissection is included. We believe that this case report provides a good illustration of the need for careful reviewing of indications for angiography. Although procedural risks are low, angiography remains an invasive diagnostic test with the potential to cause severe complications.
authors.affiliation: Cardiology, Catharina Hospital, Eindhoven, The, Netherlands.
authors.forename: Clara EE
authors.initials: CE
authors.lastname: Hanekamp
authors.forename: Kathinka H
authors.initials: KH
authors.lastname: Peels
authors.forename: Jacques J
authors.initials: JJ
authors.lastname: Koolen
authors.forename: Hans JRM
authors.initials: HJ
authors.lastname: Bonnier