Iatrogenic left main coronary artery dissection due to pin-hole balloon rupture: Not to be panicked…

Abstract

Iatrogenic left main coronary artery (LMCA) dissection is a rare complication and may have devastating consequences if not immediately intervened. The management includes urgent revascularization mostly with percutaneous coronary intervention (PCI) with bail-out stenting and rarely requires coronary artery bypass graft (CABG) surgery. In clinically and hemodynamically stable patients, a conservative approach may be preferred. Here, we present a rare case of iatrogenic retrograde LMCA dissection due to pin-hole rupture of angioplasty balloon that was managed conservatively.

Keywords::

• Percutaneous coronary
• intervention
• left main coronary dissection
• pin-hole balloon rupture
• conservative management

Declaration of interest: The authors report no conflicts of interest. The authors alone are responsible for the content and writing of the paper.