title: Dissection of the left main coronary artery during percutaneous intervention: successful surgical management.
abstract: Coronary dissection during diagnostic catheterization presents a therapeutic challenge. Medical management or percutaneous intervention may be an option in a stable patient. Unstable patients should promptly undergo surgical revascularization. We report on a patient in whom dissection of the left main coronary artery, the left anterior descending artery, and a diagonal branch occurred during catheterization. Clear signs of myocardial ischemia indicated immediate surgery. Coronary artery bypass grafting was carried out within a very short time frame and the patient survived. This case demonstrates the value of an expeditious surgical treatment strategy.
authors.affiliation: Division of Cardiac Surgery, University of Maryland, School of Medicine, Baltimore, MD, USA. tendulkaramod@hotmail.com
authors.forename: Amod
authors.initials: A
authors.lastname: Tendulkar
authors.forename: Reyaz
authors.initials: R
authors.lastname: Haque
authors.forename: Wendy
authors.initials: W
authors.lastname: Bernstein
authors.forename: Bartley
authors.initials: B
authors.lastname: Griffith
authors.forename: Johannes
authors.initials: J
authors.lastname: Bonatti
mesh_terms: D000784:Aortic Dissection / Q000209:etiology* / Q000601:surgery*; D015906:Angioplasty, Balloon, Coronary / Q000009:adverse effects*; D001026:Coronary Artery Bypass; D003324:Coronary Artery Disease / Q000209:etiology* / Q000601:surgery*; D006801:Humans; D008297:Male; D008875:Middle Aged; D016896:Treatment Outcome