scholarly journals Delayed presentation of left main coronary artery dissection due to catheter ablation in a patient with bicuspid aortic valve. Coincidence or manifestation of inherent vulnerability?

2020 ◽  
Vol 22 (6) ◽  
pp. 269-272
Author(s):  
Jacek Klaudel ◽  
Michal Glaza ◽  
Katarzyna Kosmalska ◽  
Marek Szolkiewicz
Keyword(s):  
Coronary Artery ◽  
Catheter Ablation ◽  
Aortic Valve ◽  
Bicuspid Aortic Valve ◽  
Left Main Coronary Artery ◽  
Artery Dissection ◽  
Delayed Presentation ◽  
Left Main ◽  
Coronary Artery Dissection ◽  
Inherent Vulnerability

Left Main Coronary Artery Dissection During Aortic Valve Replacement

2017 ◽  
Vol 124 (6) ◽  
pp. 1789-1791 ◽  
Author(s):  
Kenta Nakao ◽  
Toshiyuki Sawai ◽  
Junko Nakahira ◽  
Ayako Hamakawa ◽  
Hisanari Ishii ◽  
...  
Keyword(s):  
Coronary Artery ◽  
Aortic Valve ◽  
Aortic Valve Replacement ◽  
Valve Replacement ◽  
Left Main Coronary Artery ◽  
Artery Dissection ◽  
Left Main ◽  
Coronary Artery Dissection

Surgical management of spontaneous left main coronary artery dissection

1998 ◽  
Vol 66 (1) ◽  
pp. 258-260 ◽  
Author(s):  
Patricia A Thistlethwaite ◽  
Riyad Y Tarazi ◽  
Frank J Giordano ◽  
Stuart W Jamieson
Keyword(s):  
Coronary Artery ◽  
Surgical Management ◽  
Left Main Coronary Artery ◽  
Artery Dissection ◽  
Left Main ◽  
Coronary Artery Dissection

Salvage myocardial revascularisation in spontaneous left main coronary artery dissection with cardiogenic shock – the role of mechanical circulatory support

Perfusion ◽  
2016 ◽  
Vol 32 (2) ◽  
pp. 171-173 ◽  
Author(s):  
Ashok Padukone ◽  
Ahmed K. Sayeed ◽  
Nandor Marczin ◽  
Diana García Sáez ◽  
Bartlomiej Zych ◽  
...  
Keyword(s):  
Coronary Artery ◽  
Cardiogenic Shock ◽  
Mechanical Circulatory Support ◽  
Left Main Coronary Artery ◽  
Artery Bypass ◽  
Myocardial Revascularization ◽  
Circulatory Support ◽  
Artery Dissection ◽  
Left Main ◽  
Coronary Artery Dissection

Spontaneous left main coronary artery dissection is a rare cause of acute coronary events or sudden cardiac death, constituting less than 1% of all epicardial coronary artery dissections. It is often fatal and is mostly recognized at post-mortem examination in young victims of sudden death. More than 70% of the reported cases occurred in women, particularly during pregnancy and the peripartum period and those on oral contraceptives. The clinical presentation is highly variable and prognosis varies widely, depending predominantly on the speed of diagnosis. Treatment options include medical therapy, revascularization with coronary artery bypass grafting (CABG) or percutaneous coronary intervention (PCI) and mechanical circulatory support in cases of cardiogenic shock. We report a case of spontaneous dissection of the left main stem coronary artery, with extension into the left coronary territory, which occurred in a 41-year-old lady, complicated by profound cardiogenic shock requiring recovery with extracorporeal mechanical circulatory support after salvage myocardial revascularization.

scholarly journals Left anterior descending coronary artery dissection during ventricular tachycardia ablation – case report

2018 ◽  
Vol 56 (1) ◽  
pp. 63-66
Author(s):  
Kresimir Kordic ◽  
Sime Manola ◽  
Ivan Zeljkovic ◽  
Ivica Benko ◽  
Nikola Pavlovic
Keyword(s):  
Ventricular Tachycardia ◽  
Coronary Artery ◽  
Left Main Coronary Artery ◽  
Left Ventricular ◽  
Artery Dissection ◽  
Complication Rates ◽  
Left Main ◽  
Coronary Artery Dissection ◽  
Ventricular Tachycardia Ablation ◽  
First Case

Abstract Fascicular left ventricular tachycardia (VT) is the second most frequent idiopathic left VT in the setting of a structurally normal heart. Catheter ablation is curative in most patients with low complication rates. We report a case of ostial left anterior descending coronary artery (LAD) occlusion during fascicular ventricular tachycardia ablation. Dissection was the most likely cause of LAD obstruction. To the authors’ best knowledge, this is the first case reporting selective LAD dissection during electrophysiology study with no left main coronary artery (LMCA) affection.

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