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
Citation: 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

Immediate bail-out TAP-stenting for the treatment of iatrogenic aortocoronary dissection involving left main bifurcation

  • 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 dis-charged 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.
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