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Vol. 73 No. 3 (2016)
Vol. 73 No. 3 (2016)

Iatrogenic dissection of the left main coronary artery during elective diagnostic procedures – A report on three cases

DOI: 10.2298/7289
Nemanja Djenić
Clinic for Emergency and Internal Medicine, Military Medical Academy, Belgrade, Serbia
Boris Džudović
Clinic for Emergency and Internal Medicine, Military Medical Academy, Belgrade, Serbia
Radoslav Romanović
Clinic for Emergency and Internal Medicine, Military Medical Academy, Belgrade, Serbia
Nenad Ratković
Clinic for Emergency and Internal Medicine, Military Medical Academy, Belgrade, Serbia
Zoran Jović
Clinic for Cardiology, Military Medical Academy, Belgrade, Serbia
Bosko Djukić
Clinic for Emergency and Internal Medicine, Military Medical Academy, Belgrade, Serbia
Marijan Spasić
Clinic for Cardiology, Military Medical Academy, Belgrade, Serbia
Siniša Stojković
Clinic for Cardiology, Clinical Center of Serbia, Belgrade, Serbia
Slobodan Obradović
Clinic for Emergency and Internal Medicine, Military Medical Academy, Belgrade, Serbia

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Saglasnost autora
Odgovor recezentu A

Published

2016-03-01

Section

Case report

How to Cite

1.
Djenić N, Džudović B, Romanović R, Ratković N, Jović Z, Djukić B, et al. Iatrogenic dissection of the left main coronary artery during elective diagnostic procedures – A report on three cases. Vojnosanit Pregl [Internet]. 2016 Mar. 1 [cited 2026 Jul. 12];73(3). Available from: https://asistent.ceon.rs/index.php/vsp/article/view/VSP141208005D
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Abstract

Introduction. Left main coronary artery dissection is a rare and potentially life-threatening complication of coronary angiography and angioplasty which requests urgent revascularization. Case report. During the period between 2010 and November 2014 at single healthcare center we did totally 8,884 coronary procedures, out of which 2,333 were percutaneous coronary interventions (PCI). In this period we had a total of 3 (0,03%) left main coronary artery dissections, and all of them were successfully treated by PCI. We presented three cases with iatrogenic dissection of the left main coronary artery, occurred during elective diagnostic procedures, successfully treated with PCI with different techniques. Conclusion. PCI could be fast and life-saving approach in iatrogenic dissections of the left main coronary artery.

 

Keywords

iatrogenic disease
coronary angiography
percutaneous coronary intervention
treatment outcome
DOI: 10.2298/7289

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