Iatrogenic propagation of left main coronary artery dissection during diagnostic coronary angiography: A case report.

ABSTRACT:

Rationale

Iatrogenic dissection of the left main coronary artery (LMCA) extending to the left anterior descending (LAD) and left circumflex arteries is a very rare but catastrophic complication during coronary intervention. Prompt diagnosis and appropriate management are essential for improving patient outcomes.

Patient concerns

We report the case of a 78-year-old male with a past medical history of hypertension and previous myocardial infarction who presented to the emergency department with progressively worsening angina over 2 weeks.

Diagnoses

During coronary angiography, LMCA dissection occurred due to catheter manipulation. The dissection extended to both the LAD and left circumflex arteries, causing hemodynamic instability.

Interventions

Using a provision

SUBMITTER: Nguyen NT 

PROVIDER: S-EPMC11977721 | biostudies-literature | 2025 Apr

REPOSITORIES: biostudies-literature