Iatrogenic dissection of the left main coronary artery during elective diagnostic procedures – A report on three cases

Nemanja Djenić; Boris Džudović; Radoslav Romanović; Nenad Ratković; Zoran Jović; Bosko Djukić; Marijan Spasić; Siniša Stojković; Slobodan Obradović

doi:10.2298/7289

Nemanja Djenić Clinic for Emergency and Internal Medicine, Military Medical Academy, Belgrade, Serbia
Boris Džudović Clinic for Emergency and Internal Medicine, Military Medical Academy, Belgrade, Serbia
Radoslav Romanović Clinic for Emergency and Internal Medicine, Military Medical Academy, Belgrade, Serbia
Nenad Ratković Clinic for Emergency and Internal Medicine, Military Medical Academy, Belgrade, Serbia
Zoran Jović Clinic for Cardiology, Military Medical Academy, Belgrade, Serbia
Bosko Djukić Clinic for Emergency and Internal Medicine, Military Medical Academy, Belgrade, Serbia
Marijan Spasić Clinic for Cardiology, Military Medical Academy, Belgrade, Serbia
Siniša Stojković Clinic for Cardiology, Clinical Center of Serbia, Belgrade, Serbia
Slobodan Obradović Clinic for Emergency and Internal Medicine, Military Medical Academy, Belgrade, Serbia

DOI: https://doi.org/10.2298/7289

Keywords: iatrogenic disease, coronary angiography, percutaneous coronary intervention, treatment outcome,

Abstract

Introduction. Left main coronary artery dissection is a rare and potentially life-threatening complication of coronary angiography and angioplasty which requests urgent revascularization. Case report. During the period between 2010 and November 2014 at single healthcare center we did totally 8,884 coronary procedures, out of which 2,333 were percutaneous coronary interventions (PCI). In this period we had a total of 3 (0,03%) left main coronary artery dissections, and all of them were successfully treated by PCI. We presented three cases with iatrogenic dissection of the left main coronary artery, occurred during elective diagnostic procedures, successfully treated with PCI with different techniques. Conclusion. PCI could be fast and life-saving approach in iatrogenic dissections of the left main coronary artery.

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