title: Significant left main coronary artery disease from iatrogenic dissection during coronary angiography.
abstract: Though atherosclerotic obstruction is the major cause of the obstructive left main coronary artery (LMCA) disease, it can be associated with iatrogenic dissection during coronary angiography. Here we report a case with severe LMCA stenosis due to catheter induced dissection in a 77-year-old man which was detected 9 months later. By careful review of the angiogram had taken at 9 months ago, the LMCA was injured by the diagnostic left Judkin's catheter during the first coronary angiography. The initial lesion was neglected and the dissection got worse with time. The patient was successfully treated with two drug-eluting stents by crushing technique and discharged without further complication.
authors: Division of Cardiology, Department of Internal Medicine, Chungnam National University Hospital, Chungnam National University School of Medicine, Daejeon, Republic of Korea.
authors: Jae-Hwan
authors: JH
authors: Lee
authors: Eun-Mi
authors: EM
authors: Kim
authors: Kye Taek
authors: KT
authors: Ahn
authors: Min Su
authors: MS
authors: Kim
authors: Kyu Seop
authors: KS
authors: Kim
authors: Il Soon
authors: IS
authors: Jung
authors: Jae-Hyeong
authors: JH
authors: Park
authors: Si Wan
authors: SW
authors: Choi
authors: In-Whan
authors: IW
authors: Seong
authors: Jin-Ok
authors: JO
authors: Jeong
mesh_terms: D000368:Aged; D015906:Angioplasty, Balloon, Coronary; D017023:Coronary Angiography / Q000009:adverse effects*; D003324:Coronary Artery Disease / Q000000981:diagnostic imaging* / Q000209:etiology* / Q000628:therapy; D003331:Coronary Vessels / Q000293:injuries*; D054855:Drug-Eluting Stents; D006801:Humans; D007049:Iatrogenic Disease; D008297:Male