Iatrogenic left main coronary artery dissection due to pin-hole balloon rupture: Not to be panicked….
Iatrogenic left main coronary artery (LMCA) dissection is a rare complication and may have devastating consequences if not immediately intervened. The management includes urgent revascularization mostly with percutaneous coronary intervention (PCI) with bail-out stenting and rarely requires coronary artery bypass graft (CABG) surgery. In clinically and hemodynamically stable patients, a conservative approach may be preferred. Here, we present a rare case of iatrogenic retrograde LMCA dissection due to pin-hole rupture of angioplasty balloon that was managed conservatively.
a Department of Cardiology , PGIMER Dr RML Hospital , New Delhi , India.
Balakumaran
B
Jeyakumaran
a Department of Cardiology , PGIMER Dr RML Hospital , New Delhi , India.
Ajay
A
Raj
a Department of Cardiology , PGIMER Dr RML Hospital , New Delhi , India.
Bhagya Narayan
BN
Pandit
a Department of Cardiology , PGIMER Dr RML Hospital , New Delhi , India.
Tarun
T
Kumar
a Department of Cardiology , PGIMER Dr RML Hospital , New Delhi , India.
Surender
S
Deora
D000072700:Conservative Treatment / Q000379:methods; D017023:Coronary Angiography; D054059:Coronary Occlusion / Q000601:surgery*; D003331:Coronary Vessels / Q000000981:diagnostic imaging / Q000293:injuries*; D005260:Female; D006801:Humans; D007049:Iatrogenic Disease; D008875:Middle Aged; D062645:Percutaneous Coronary Intervention / Q000009:adverse effects* / Q000295:instrumentation; D057772:Vascular System Injuries / Q000175:diagnosis / Q000209:etiology* / Q000628:therapy
Percutaneous coronary; conservative management; intervention; left main coronary dissection; pin-hole balloon rupture