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Case Series
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| Catheter induced left main coronary artery stenosis: A rare complication of percutaneous coronary intervention |
| Muhammad Shamim Siddiqui1, yed Muhammad Faisal Hussain2, Bashir Hanif1, |
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1Consultant Cardiologist, Department of Cardiology, Tabba Heart Institute, Karachi, Sindh, Pakistan.
2Teaching Assistant, Department of Biological and Biomedical Sciences, Aga Khan University, Karachi, Sindh, Pakistan. |
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doi:10.5348/ijcri-2012-08-155-CS-2
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Address correspondence to: Syed Muhammad Faisal Hussain A-33, Shaheen Heights FL-9, Block-7, Gulshan-e-Iqbal Karachi - 75300, Sindh Pakistan Phone: +92-21-34967212; Mob: +92-300-2356078 Email: smfaisalhussain@hotmail.com |
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| How to cite this article: |
| Siddiqui MS, Hussain SMF, Hanif B. Catheter induced left main coronary artery stenosis: A rare complication of percutaneous coronary intervention. International Journal of Case Reports and Images 2012;3(8):5–9. |
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Abstract
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Introduction:
Iatrogenic left main coronary artery lesion following percutaneous coronary intervention (PCI) is a rare complication. Bashour et al. first reported this complication more than twenty-three years ago. Fortunately, this was one of only a handful of cases reported in literature, in spite of the thousands of procedures performed every year.
Case Series: We are reporting two cases of catheter induced left main coronary artery stenosis. One of the cases involved PCI to left anterior descending artery (LAD) and the 2nd to the left circumflex artery (LCX). Neither cases revealed significant plaque burden in the left main coronary artery (LMCA). The patients in both cases returned within three months with symptoms of angina, and were found to have critical left main disease, presumably induced by guide catheters. One patient underwent coronary artery bypass graft (CABG) and other had successful ostial left main PCI. Conclusion: Catheter induced left main coronary artery disease is a rare but serious complication of PCI, and should always be considered in any patient that returns with chest pain following PCI. Particular attention should be paid to catheter and device manipulation during the procedure to avoid this potentially calamitous complication. | |
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Key Words:
Coronary artery stenosis, Iatrogenic vessel injury
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Author Contributions:
Muhammad Shamim Siddiqui – Substantial contributions to conception and design, Acquisition of data, Drafting the article, revising it critically for important intellectual content, Final approval of the version to be published Syed Muhammad Faisal Hussain – Substantial contributions to conception and design, Acquisition of data, Drafting the article, revising it critically for important intellectual content, Final approval of the version to be published Bashir Hanif – Substantial contributions to conception and design, Drafting the article, Final approval of the version to be published |
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Guarantor of submission:
The corresponding author is the guarantor of submission. |
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Source of support:
None |
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Conflict of interest:
Authors declare no conflict of interest. |
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Copyright:
© Muhammad Shamim Siddiqui et al. 2012; This article is distributed the terms of Creative Commons Attribution License which permits unrestricted use, distribution and reproduction in any means provided the original authors and original publisher are properly credited. (Please see Copyright Policy for more information.) |
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