Iatrogenic left main coronary artery dissection due to pin-hole balloon rupture: Not to be panicked…. (2nd October 2015)

• Record Type: Journal Article
• Authors: Jeyakumaran, Balakumaran; Raj, Ajay; Pandit, Bhagya Narayan; Kumar, Tarun; Deora, Surender
• Is Part Of: Acute cardiac care. Volume 17:Number 4(2015)
• Page Start: 80
• Page End: 82
• Publication Date: 2015-10-02
• Subjects: Percutaneous coronary -- intervention -- left main coronary dissection -- pin-hole balloon rupture -- conservative management; Cardiac intensive care -- Periodicals; Cardiovascular system -- Diseases -- Treatment -- Periodicals; 616.12028
• DOI: 10.3109/17482941.2016.1174271
• Languages: English
• ISSNs: 1748-2941

Abstract

Abstract : Iatrogenic left main coronary artery (LMCA) dissection is a rare complication and may have devastating consequences if not immediately intervened. The management includes urgent revascularization mostly with percutaneous coronary intervention (PCI) with bail-out stenting and rarely requires coronary artery bypass graft (CABG) surgery. In clinically and hemodynamically stable patients, a conservative approach may be preferred. Here, we present a rare case of iatrogenic retrograde LMCA dissection due to pin-hole rupture of angioplasty balloon that was managed conservatively.