title: Onset and progression of fatal coronary dissection during angiography.
abstract: Coronary angiography was performed in a 43-year-old man admitted to hospital for chest pain. The first frames after the injection of contrast medium showed plaque in the left main coronary artery and subtotal stenosis of the mid-left anterior descending coronary artery. Dissection of the left main coronary artery appeared, with intimal flaps at the proximal segment of the main trunk and the origin of the left anterior descending artery. Dissection rapidly progressed into the circumflex artery and left anterior descending coronary artery. Although two stents were deployed in the left main coronary artery, the patient died of ventricular fibrillation.
authors.affiliation: Department of Environmental Medicine and Publlic Health, University of Padova, Padova, Italy.
authors.forename: Andrea
authors.initials: A
authors.lastname: Porzionato
authors.forename: Silvano
authors.initials: S
authors.lastname: Zancaner
authors.forename: Angelo
authors.initials: A
authors.lastname: Ramondo
authors.forename: Santo D
authors.initials: SD
authors.lastname: Ferrara
mesh_terms: D000328:Adult; D000784:Aortic Dissection / Q000000981:diagnostic imaging / Q000209:etiology*; D003323:Coronary Aneurysm / Q000000981:diagnostic imaging / Q000209:etiology*; D017023:Coronary Angiography / Q000009:adverse effects*; D023921:Coronary Stenosis / Q000000981:diagnostic imaging; D018450:Disease Progression; D017809:Fatal Outcome; D005500:Follow-Up Studies; D006801:Humans; D008297:Male