An Unusual Case of Long-Segment Dissection of the Left Anterior Descending Coronary Artery During Osteoproximal Chronic Total Occlusion Intervention

Coronary artery dissection can occur after post-balloon inflation; however, a very long-segment coronary dissection (>50 mm) is a rare occurrence during routine coronary interventions. Here, we report an extremely rare case of long-segment coronary dissection in the left anterior descending coron...

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Autores principales: Mahanta, Dibyasundar, Parhi, Deepak Kumar, Gadade, Shilpa Vinayak, Das, Debasish
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Cureus 2023
Materias:
Internal Medicine
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10625397/
https://www.ncbi.nlm.nih.gov/pubmed/37927712
http://dx.doi.org/10.7759/cureus.46526
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author Mahanta, Dibyasundar
Parhi, Deepak Kumar
Gadade, Shilpa Vinayak
Das, Debasish
author_facet Mahanta, Dibyasundar
Parhi, Deepak Kumar
Gadade, Shilpa Vinayak
Das, Debasish
author_sort Mahanta, Dibyasundar
collection PubMed
description Coronary artery dissection can occur after post-balloon inflation; however, a very long-segment coronary dissection (>50 mm) is a rare occurrence during routine coronary interventions. Here, we report an extremely rare case of long-segment coronary dissection in the left anterior descending coronary artery (LAD) induced during antegrade revascularization of chronic total occlusion of osteoproximal LAD with stiffer Gaia II wire. The patient had excruciating angina with hemodynamic collapse and acute pulmonary edema; the patient was rescued with long-segment coronary revascularization.
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spelling pubmed-106253972023-11-05 An Unusual Case of Long-Segment Dissection of the Left Anterior Descending Coronary Artery During Osteoproximal Chronic Total Occlusion Intervention Mahanta, Dibyasundar Parhi, Deepak Kumar Gadade, Shilpa Vinayak Das, Debasish Cureus Internal Medicine Coronary artery dissection can occur after post-balloon inflation; however, a very long-segment coronary dissection (>50 mm) is a rare occurrence during routine coronary interventions. Here, we report an extremely rare case of long-segment coronary dissection in the left anterior descending coronary artery (LAD) induced during antegrade revascularization of chronic total occlusion of osteoproximal LAD with stiffer Gaia II wire. The patient had excruciating angina with hemodynamic collapse and acute pulmonary edema; the patient was rescued with long-segment coronary revascularization. Cureus 2023-10-05 /pmc/articles/PMC10625397/ /pubmed/37927712 http://dx.doi.org/10.7759/cureus.46526 Text en Copyright © 2023, Mahanta et al. https://creativecommons.org/licenses/by/3.0/This is an open access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.
spellingShingle Internal Medicine
Mahanta, Dibyasundar
Parhi, Deepak Kumar
Gadade, Shilpa Vinayak
Das, Debasish
An Unusual Case of Long-Segment Dissection of the Left Anterior Descending Coronary Artery During Osteoproximal Chronic Total Occlusion Intervention
title An Unusual Case of Long-Segment Dissection of the Left Anterior Descending Coronary Artery During Osteoproximal Chronic Total Occlusion Intervention
title_full An Unusual Case of Long-Segment Dissection of the Left Anterior Descending Coronary Artery During Osteoproximal Chronic Total Occlusion Intervention
title_fullStr An Unusual Case of Long-Segment Dissection of the Left Anterior Descending Coronary Artery During Osteoproximal Chronic Total Occlusion Intervention
title_full_unstemmed An Unusual Case of Long-Segment Dissection of the Left Anterior Descending Coronary Artery During Osteoproximal Chronic Total Occlusion Intervention
title_short An Unusual Case of Long-Segment Dissection of the Left Anterior Descending Coronary Artery During Osteoproximal Chronic Total Occlusion Intervention
title_sort unusual case of long-segment dissection of the left anterior descending coronary artery during osteoproximal chronic total occlusion intervention
topic Internal Medicine
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10625397/
https://www.ncbi.nlm.nih.gov/pubmed/37927712
http://dx.doi.org/10.7759/cureus.46526
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