Immediate bail-out TAP-stenting for the treatment of iatrogenic aortocoronary dissection i

Immediate bail-out TAP-stenting for the treatment of iatrogenic aortocoronary dissection involving

left main bifurcation

Edmundo Patricio Lopes Lao;Shao-Ping Nie;Chang-Sheng Ma

【期刊名称】《老年心脏病学杂志（英文版）》 【年(卷),期】2013(010)002

【摘要】Iatrogenic aortocoronary dissection is a rare but potentially disastrous complication of percutaneous coronary intervention. The left main dissection extending into distal bifurcation involving both the left anterior descending and left circumflex is a complex and vital complication, which is classified as Eshtehardi Type II dissection. We presented a case of iatrogenic left main coronary artery dissection with upcoming closure of both major branches, which was successfully managed by immediate bail-out TAP-stenting. The 77-year-old patient was discharged without any complication, and 1-year follow-up indicated stent patency and favorable clinical result. Immediate bail-out stenting is a feasible and reasonable initial management for this lethal complication.

【总页数】3页(202-204) 【关键词】

【作者】Edmundo Patricio Lopes Lao;Shao-Ping Nie;Chang-Sheng Ma 【作者单位】Department of Cardiology, Beijing Anzhen Hospital, Capital