Left Main Coronary Artery (LMCA) Iatrogenic Dissection: A Case Report of a Catastrophic Complication During Primary Percutaneous Coronary Intervention (PCI)

左主干冠状动脉(LMCA)医源性夹层:一例在直接经皮冠状动脉介入治疗(PCI)过程中发生的灾难性并发症病例报告

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Abstract

Catheter-induced coronary artery dissection is a rare and serious complication that may occur during coronary angiography or angioplasty procedures. Its timely recognition and appropriate management are critical to prevent severe consequences such as myocardial infarction or sudden cardiac death. The treatment strategy depends on the extent and location of the dissection, with revascularization often required to restore adequate coronary blood flow. Various approaches, including percutaneous intervention, may be employed based on the clinical scenario. In this report, we describe a case of successful recanalization following an iatrogenic coronary dissection, emphasizing the importance of early intervention and individualized management.

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