Significant left main coronary artery disease from iatrogenic dissection during coronary angiography.
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.
Lee
Jae-Hwan
JH
Division of Cardiology, Department of Internal Medicine, Chungnam National University Hospital, Chungnam National University School of Medicine, Daejeon, Republic of Korea.
Kim
Eun-Mi
EM
Ahn
Kye Taek
KT
Kim
Min Su
MS
Kim
Kyu Seop
KS
Jung
Il Soon
IS
Park
Jae-Hyeong
JH
Choi
Si Wan
SW
Seong
In-Whan
IW
Jeong
Jin-Ok
JO
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