title: Catheter-induced bilateral coronary ostium dissection in a patient with long-term steroid therapy.
abstract: Catheter-induced coronary dissection is a very rare and serious complication. We report a case of a 44-year-old man with catheter-induced bilateral coronary dissection that occurred during diagnostic coronary angiography for angina. The coronary dissection was successfully treated by stenting at the left main trunk, the left anterior descending artery, and the right coronary ostium. The patient had been maintained on long-term steroid therapy for nephrotic syndrome. The effect of long-term steroid therapy on bilateral coronary dissection is worthy of discussion.
authors.affiliation: Intensive and Cardiac Care Unit, Nippon Medical School Hospital, 1-1-5 Sendagi, Bunkyo-ku, Tokyo, Japan. hidep-@nms.ac.jp
authors.forename: Hideki
authors.initials: H
authors.lastname: Miyachi
authors.forename: Keiji
authors.initials: K
authors.lastname: Tanaka
authors.forename: Kyoichi
authors.initials: K
authors.lastname: Mizuno
mesh_terms: D000328:Adult; D062906:Cardiac Catheters / Q000009:adverse effects*; D003324:Coronary Artery Disease / Q000453:epidemiology; D003331:Coronary Vessels / Q000293:injuries*; D004305:Dose-Response Relationship, Drug; D006801:Humans; D008297:Male; D009404:Nephrotic Syndrome / Q000188:drug therapy; D011239:Prednisolone / Q000009:adverse effects / Q000627:therapeutic use; D012307:Risk Factors; D012421:Rupture / Q000209:etiology* / Q000628:therapy*; D015607:Stents; D013256:Steroids / Q000009:adverse effects / Q000627:therapeutic use*; D016896:Treatment Outcome
chemical_list: D013256:Steroids; D011239:Prednisolone