Urgent myocardial revascularization for dissection of the left main coronary artery: a complication of coronary angiography

Acute subintimal dissection of the left main coronary artery (LMCA) is a rare but devastating complication of selective coronary angiography. The compromise of the coronary blood flow to an extensive area of myocardium becomes clinically evident in most patients shortly after the injury. Three patie...

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Bibliographic Details
Published inThe Journal of thoracic and cardiovascular surgery Vol. 84; no. 3; pp. 349 - 352
Main Authors Connors, JP, Thanavaro, S, Shaw, RC, Sandza, JG, Ludbrook, PA, Krone, RJ
Format Journal Article
LanguageEnglish
Published United States AATS/WTSA 01.09.1982
Subjects
Aged
Angiography - adverse effects
Coronary Angiography
Coronary Artery Bypass
Coronary Circulation
Coronary Vessels - injuries
Coronary Vessels - surgery
Electrocardiography
Female
Humans
Iatrogenic Disease
Intra-Aortic Balloon Pumping
Male
Middle Aged
Myocardial Infarction - etiology
Myocardial Infarction - physiopathology
Myocardial Revascularization
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Summary:Acute subintimal dissection of the left main coronary artery (LMCA) is a rare but devastating complication of selective coronary angiography. The compromise of the coronary blood flow to an extensive area of myocardium becomes clinically evident in most patients shortly after the injury. Three patients who had catheter-induced LMCA dissection were successfully managed with aorta-coronary artery bypass. We recommend that urgent myocardial revascularization using standard techniques should be carried out in all patients following this injury.
Bibliography:ObjectType-Case Study-2
SourceType-Scholarly Journals-1
ObjectType-Feature-4
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ObjectType-Report-1
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ISSN:0022-5223
1097-685X
DOI:10.1016/s0022-5223(19)39002-6