title: Immediate bail-out TAP-stenting for the treatment of iatrogenic aortocoronary dissection involving left main bifurcation.
abstract: Iatrogenic aortocoronary dissection is a rare but potentially disastrous complication of percutaneous coronary intervention. The left main dissection extending into distal bifurcation involving both the left anterior descending and left circumflex is a complex and vital complication, which is classified as Eshtehardi Type II dissection. We presented a case of iatrogenic left main coronary artery dissection with upcoming closure of both major branches, which was successfully managed by immediate bail-out TAP-stenting. The 77-year-old patient was discharged without any complication, and 1-year follow-up indicated stent patency and favorable clinical result. Immediate bail-out stenting is a feasible and reasonable initial management for this lethal complication.
authors.affiliation: Department of Cardiology, Beijing Anzhen Hospital, Capital Medical University, Beijing 100029, China.
authors.forename: Edmundo Patricio Lopes
authors.initials: EP
authors.lastname: Lao
authors.forename: Shao-Ping
authors.initials: SP
authors.lastname: Nie
authors.forename: Chang-Sheng
authors.initials: CS
authors.lastname: Ma
keywords: Aorta; Bail-out stenting; Coronary artery; Dissection; Percutaneous coronary intervention