Catheter-induced Left Main Dissection: A Minefield in Interventional Cardiology.

Abstract

Coronary angiography is an invasive diagnostic procedure used to assess the coronary anatomy. Although rare, iatrogenic coronary artery dissection during coronary catheterization is a dreaded complication. Here we report the case of an 89-year-old patient diagnosed with acute coronary syndrome-Non-ST-segment elevation myocardial infarction, who underwent coronary angiography. During the coronary angiogram, he sustained a fatal left main coronary artery dissection. Here we discuss the interventions attempted to tackle the situation and a review of the approach to managing iatrogenic left main dissections.