scholarly journals Iatrogenic Dissection of Left Main-Stem during Primary PCI for Inferior STEMI: A Catastrophic Complication

2017 ◽  
Vol 5 (1-2) ◽  
pp. 67-71
Author(s):  
CM Shaheen Kabir ◽  
M Liaquat Ali ◽  
Saidur Rahman Khan ◽  
Mashhud Zia Chowdhury ◽  
M Maksumul Haq
Keyword(s):  
Coronary Angiography ◽  
Bypass Surgery ◽  
Main Stem ◽  
Artery Dissection ◽  
High Morbidity ◽  
Left Main ◽  
Coronary Artery Dissection ◽  
Left Main Stem ◽  
Intracoronary Stenting ◽  
Bail Out

Coronary artery dissection is a rare but well-recognized complication of coronary angiography with high morbidity and mortality rate. We present the case of a 54-year-old male who experienced iatrogenic left main-stem (LMS) dissection during transradial coronary angiography for inferior STEMI. The patient was successfully treated by prompt bail-out stenting. Intracoronary stenting is of value in stabilising the patients before emergency bypass surgery and can save lives in LMS complications. Ibrahim Card Med J 2015; 5 (1&2): 67-71

scholarly journals Left main stem coronary artery dissection.

Heart ◽  
1980 ◽  
Vol 43 (6) ◽  
pp. 705-708 ◽  
Author(s):  
P J Molloy ◽  
M B Ablett ◽  
K R Anderson
Keyword(s):  
Coronary Artery ◽  
Main Stem ◽  
Artery Dissection ◽  
Left Main ◽  
Coronary Artery Dissection ◽  
Left Main Stem

scholarly journals Postpartum multi-vessel spontaneous coronary artery dissection in the setting of cocaine and amphetamine use: a case report

2020 ◽  
Author(s):  
Laurna McGovern ◽  
J J Coughlan ◽  
Ross Murphy ◽  
Sadat Edroos
Keyword(s):  
Coronary Artery ◽  
Drug Use ◽  
Coronary Angiography ◽  
Illicit Drug ◽  
Main Stem ◽  
Artery Dissection ◽  
Spontaneous Coronary Artery Dissection ◽  
Left Main ◽  
Coronary Artery Dissection ◽  
Amphetamine Use

Abstract Background  Spontaneous coronary artery dissection (SCAD) is a recognized cause of acute coronary syndrome (ACS). Pregnancy, the postpartum period, and illicit drug use have all been reported as potential triggers. Case summary  We describe the case of a 41-year-old patient who presented to the emergency department with chest pain in the setting of recent cocaine and amphetamine use. The patient was 4 months postpartum following an uncomplicated pregnancy. Past medical history was non-contributory, with no known risk factors for ischaemic heart disease. Electrocardiogram was normal but high-sensitivity troponin T was significantly elevated. Coronary angiography revealed multi-vessel SCAD. This was managed conservatively as the patient remained clinically stable and pain free without high-risk anatomy (left main stem or proximal two-vessel coronary artery dissection). Discussion  Spontaneous coronary artery dissection must be considered in a postpartum patient presenting with ACS, particularly in the context of environmental stressors such as illicit drug use. Coronary angiography is key to determine diagnosis and guide management. Conservative therapy is favoured, except for patients with ongoing ischaemia, haemodynamic instability, and left main stem involvement. In this case, we suspect SCAD occurred due to the haemodynamic effects of cocaine and amphetamines in the context of structural arterial changes of the postpartum state.

scholarly journals Recurrent coronary artery dissection of left main trunk initially presented with normal coronary angiography

2016 ◽  
Vol 14 (6) ◽  
pp. 164-167
Author(s):  
Masahiko Shibuya ◽  
Kenichi Fujii ◽  
Takahiro Imanaka ◽  
Kenji Kawai ◽  
Tomotaka Ando ◽  
...  
Keyword(s):  
Coronary Artery ◽  
Coronary Angiography ◽  
Artery Dissection ◽  
Left Main ◽  
Coronary Artery Dissection ◽  
Main Trunk ◽  
Left Main Trunk ◽  
Normal Coronary Angiography

scholarly journals Stents versus bypass surgery for left main stem stenosis – Authors' reply

The Lancet ◽  
2017 ◽  
Vol 389 (10079) ◽  
pp. 1609 ◽  
Author(s):  
Evald H Christiansen ◽  
Timo Mäkikallio ◽  
David Hildick-Smith ◽  
Leif Thuesen ◽  
Niels R Holm
Keyword(s):  
Bypass Surgery ◽  
Main Stem ◽  
Left Main ◽  
Left Main Stem

scholarly journals Prevalence of Left main coronary artery disease with diabetes and hypertension in STEMI patients

2021 ◽  
Vol 15 (6) ◽  
pp. 1456-1458
Author(s):  
F. Ali ◽  
Q. A. Saboor ◽  
T. Mahmud ◽  
F. Ali ◽  
H. Bashir ◽  
...  
Keyword(s):  
Coronary Angiography ◽  
Exposed Group ◽  
Main Stem ◽  
Diabetic Patients ◽  
Left Main ◽  
Unexposed Group ◽  
Left Main Stem ◽  
Male Patients ◽  
Artery Disease ◽  
Left Main Stem Disease

Aim: To determine the association of left main stem disease with diabetes and hypertension in STEMI patients underwent coronary angiography Methodology: This study was conducted at Department of Cardiology, Sheikh Zayed Hospital, Lahore during January to June 2019 where 220 patients with age ranging from 40-70 years whether male or female, presenting with STEMI, In Exposed Group: Patients presenting with STEMI having diabetes and hypertension and Unexposed Group: Patients of STEMI without diabetes and hypertension. We excluded all cases with recurrent MI or undergoing recurrent PCI (on medical record), valvular heart disease, and cardiogenic shock. Then two groups were formed i.e. exposed group with diabetes and hypertension and unexposed group without diabetes and hypertension. All patients underwent angiography by a senior consultant cardiologist with assistance of researcher. On angiography, presence of LMS disease was ≥50% occlusion (stenosis) in LMS artery. Angiography reports were assessed and LMS disease was noted labeled. Patients with LMS disease was managed as per hospital protocol. Results: In this study risk of LMS was higher among exposed group as compared to un exposed group. i.e. exposed: 19.1% & Unexposed: 5.5%, RR=3.50 The risk of LMS among exposed group was higher for patients in the age group 51-60 years (RR=8.00), for male patients (RR=5.76) risk for LMS was higher as compared to female patients in exposed group, patients with normal BMI (RR:2.20) and patients with shorter duration of STEMI in exposed group had higher risk for LMS (1-4 weeks: RR=7.54). Conclusion: Results of this study showed that hypertensive and diabetic patients presenting with STEMI had higher risk for LMS disease. Keywords: Left main stem, Diabetes, Hypertension, Coronary, Angiography

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