An atypical case of iatrogenic LAD dissection following PCI: Diagnostic and management challenges

Abstract

Iatrogenic coronary artery dissection is listed among the rare complications of interventional cardiology procedures, such as diagnostic angiography and percutaneous coronary intervention (PCI), which are worldwide routine in clinical practice.Although extremely infrequent, they can lead to severe myocardial injury and even to death.In the following case, we present an iatrogenic left anterior descending coronary artery (LAD) dissection, which led to an ischemic dilated cardiopathy.This case was radiologically and clinically worthy of note for the atypical site of dissection, the lack of symptoms although the ischemic damage and the global management requiring a multidisciplinary approach.

Keywords

• Cardiac CT
• Cardiovascular imaging
• Coronary artery
• Iatrogenic coronary artery dissection
• PCI