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Iatrogenic coronary artery dissections are rare but life-threatening complications which may have different etiologies. These complications should be recognized promptly and must be managed to avoid mortality. We are reporting a case of a 57-year old man who presented to us with acute inferior wall myocardial infarction and developed proximal right coronary dissection while undergoing percutaneous angioplasty through trans radial approach and was managed successfully with immediate rewiring and stenting of the right coronary artery. The patient remained asymptomatic at regular follow up. Coronary angiogram and angioplasty are both invasive procedures which may at times result in iatrogenic complications like catheter induced coronary dissection. Coronary artery dissection may prove fatal at times and should be dealt with immediately with appropriate intervention.
Garcia-Robles JA, Garcia E, Rico M, Esteban E, Perez de Prado A, Delcan JL. Emergency coronary stenting for acute occlusive dissection of the left main coronary artery. Cathet Cardiovasc Diagn. 1993;30(3):227-229.
El-Jack SS, Pornratanarangsi S, Webster MW. Images in cardiology. Covering your mistakes: PTFE covered stents in iatrogenic coronary dissection. Heart (British Cardiac Society). 2006;92(5): 608.
Dash D. Complications of coronary intervention: Abrupt closure, dissection, perforation. Heart Asia. 2013;5(1):61-65. Published 2013.
National Heart, Lung, and Blood Institute. Coronary artery angiographic changes after percutaneous transluminal coronary angioplasty: Manual of operations. NHLBI PTCA Registry. 1985;6–9.
Perez-Castellano N, Garc ´ ´ıa-Fernandez MA, Garc ´ ´ıa EJ, et al. Dissection of the aortic sinus of Valsalva complicating coronary catheterization: Cause, mechanism, evolution, and management. Cathet Cardiovasc Diagn. 1998;43:273–279.
Rogers JH, Lasala JM. Coronary artery dissection and perforation complicating percutaneous coronary intervention. J Invasive Cardiol. 2004;16:493–499.
Baghdasaryan D, Nazaryan A. Iatrogenic right coronary artery dissection caused by diagnostic transradial cardiac catheterization. Clin Case Rep. 2017;5(8): 1234-1237.
Boyle AJ, Chan M, Dib J, Resar J. Catheter-induced coronary artery dissection: Risk factors, prevention and management. J Invasive Cardiol. 2006; 18(10):500-3.
Ihdayhid AR, Brown AJ, Mcgaw D, Ko B. Threading the eye of the needle: A challenging case of iatrogenic spiral coronary artery dissection. Heart Lung and Circulation. 2018;27(6):e73-e77.