ISSN : 1301-5680
e-ISSN : 2149-8156
Turkish Journal of Thoracic and Cardiovascular Surgery     
Emergency surgical revascularization for catheter-induced dissection of the left main coronary artery
Tekin Yıldırım1, Cihan Çevik2, Özer Selimoğlu1, Nuri Kurtoğlu3, İsmet Dindar3, Sinan Arsan4
1Department of Cardiovascular Surgery, Göztepe Şafak Hospital, İstanbul
2Department of Cardiology, Medicine Faculty of Dumlupınar University, Kütahya
3Department of Cardiology, Göztepe Şafak Hospital, İstanbul
4Department of Cardiovascular Surgery, Medicine Faculty of Marmara University, İstanbul
Iatrogenic left main coronary artery dissection during selective coronary angiography is quite rare but a lifethreatening complication. Since coronary blood flow to an extensive area of myocardium becomes compromised, prompt restoration of vessel patency to limit ischemia is extremely important. Although there are favorable results reported with both bail-out coronary stenting and emergent coronary artery bypass operation, the optimal management of patients with left main coronary artery dissection during invasive procedures remains uncertain. Here we present a 39-year-old woman with accidental dissection of iatrogenic left main coronary artery successfully managed with emergent surgical revascularization.
Keywords : Dissection; emergent coronary artery bypass; iatrogenic; left main coronary artery
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