Iatrogenic aortocoronary dissection is a rare but potentially disastrous complication of percutaneous coronary intervention. The left main dissection extending into distal bifurcation involving both the left anterior descending and left circumflex is a complex and vital complication, which is classified as Eshtehardi Type II dissection. We presented a case of iatrogenic left main coronary artery dissection with upcoming closure of both major branches, which was successfully managed by immediate bail-out TAP-stenting. The 77-year-old patient was discharged without any complication, and 1-year follow-up indicated stent patency and favorable clinical result. Immediate bail-out stenting is a feasible and reasonable initial management for this lethal complication.
第一作者机构:[1]Capital Med Univ, Beijing Anzhen Hosp, Dept Cardiol, Beijing 100029, Peoples R China;
推荐引用方式(GB/T 7714):
Edmundo Patricio Lopes Lao,Shao-Ping Nie,Chang-Sheng Ma.Immediate bail-out TAP-stenting for the treatment of iatrogenic aortocoronary dissection involving left main bifurcation[J].JOURNAL OF GERIATRIC CARDIOLOGY.2013,10(2):202-204.doi:10.3969/j.issn.1671-5411.2013.02.014.
APA:
Edmundo Patricio Lopes Lao,Shao-Ping Nie&Chang-Sheng Ma.(2013).Immediate bail-out TAP-stenting for the treatment of iatrogenic aortocoronary dissection involving left main bifurcation.JOURNAL OF GERIATRIC CARDIOLOGY,10,(2)
MLA:
Edmundo Patricio Lopes Lao,et al."Immediate bail-out TAP-stenting for the treatment of iatrogenic aortocoronary dissection involving left main bifurcation".JOURNAL OF GERIATRIC CARDIOLOGY 10..2(2013):202-204