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Volume 3, Issue 2 (May Issue)

Iatrogenic Coronary Left Main Artery Dissection Type-F with Time and Lifesaving Bailout Intervention: A Case Report

Abdelrahman Elhakim1*, Tamara Halawi2, Mohamed Elhakim3 and Mohammed Saad4

1Interventional Cardiology Consultant, Schoen Hospital Neustadt in Holstein, Germany
2Cardiology Department, Ubbo-Emmius Hospital, Aurich, Niedersachsen, Germany
3Critical Care and Anesthesia Medical Officer, Nepean Hospital, Sydney, Australia
4Interventional Cardiology Consultant, Schleswig-Holstein University Hospital-Kiel, Germany

*Corresponding author: Abdelrahman Elhakim, Interventional Cardiology Consultant, Schoen Hospital Neustadt, Am Kiebitzberg 10, Neustadt in Holstein, Germany.

Received: March 21, 2023; Accepted: April 04, 2023; Published: May 15, 2023

Citation: Elhakim A, Halawi T, Elhakim M, Saad M. Iatrogenic Coronary Left Main Artery Dissection Type (F) with Time and Lifesaving Bailout Intervention: A Case Report. Case Rep Clin Cardiol J. 2023; 3(2): 127.

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Iatrogenic Coronary Left Main Artery Dissection Type-F with Time and Lifesaving Bailout Intervention: A Case Report
Abstract

Case Summary: This report describes a case of IACD resulting from the complications of a primary PCI procedure that was successfully managed by deeply engaged the guide catheter into the false lumen and aspirating about 10ml of blood in the hope of reducing the false lumen diameter. Then, the left main true lumen was quickly wired from the ascending aorta and successfully stented. This bailout technique using guide catheter was time and lifesaving. A similar technique using microcatheter in intervention of chronic total occlusion is known.

Keywords: Left main coronary artery dissection; Aortic dissection of the left-coronary sinuses of Valsalva; Left main coronary artery intervention; Case report

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