Key result
LMCA stenting successfully seals the entry point of retrograde aortocoronary dissection complicating LCx angioplasty.
Stenting of the left main coronary artery can successfully seal the entry point of a retrograde aortocoronary dissection complicating left circumflex angioplasty.
May offer bailout stenting for retrograde aortocoronary dissection; hypothesis-generating and should not yet change practice.
Retrograde aortocoronary dissection is a rare but devastating complication of coronary angioplasty. It occurs most frequently in the right coronary artery, rarely in the left. This is a case report of an aortic dissection complicated by coronary angioplasty of the left circumflex artery. Stenting of the left main coronary artery successfully sealed the entry point of dissection.
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Cheng et al. (2008) studied this question. Stenting of the left main coronary artery successfully sealed the entry point of a rare retrograde aortocoronary dissection complicating left circumflex artery angioplasty.