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

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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Journal
Cureus
Published
2025-12-27
DOI
https://doi.org/10.7759/cureus.100173
Primary Topic
Cardiovascular Issues in Pregnancy
Type
article
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article

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

O. Taoussi, Fatima-Zahra Merzouk, Ghita Bennis, Youssef Daoudi et al.
Cureus
Cardiovascular Issues in Pregnancy
article

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

O. Taoussi, Fatima-Zahra Merzouk, Ghita Bennis, Youssef Daoudi, Hibat Allah Kamri
article en

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.

CureusVol. 17(12)
Université Mohammed VI des Sciences et de la Santé (MA), Hôpital Universitaire International Cheikh Khalifa (MA)
Good health and well-being
Openalex Percentile: Top 31%
Cardiovascular Issues in Pregnancy
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