Dissection of the Left Main Coronary Artery during Percutaneous Intervention: Successful Surgical Management


  • Amod Tendulkar
  • Reyaz Haque
  • Wendy Bernstein
  • Bartley Griffith
  • Johannes Bonatti




Coronary dissection during diagnostic catheterization presents a therapeutic challenge. Medical management or percutaneous intervention may be an option in a stable patient. Unstable patients should promptly undergo surgical revascularization. We report on a patient in whom dissection of the left main coronary artery, the left anterior descending artery, and a diagonal branch occurred during catheterization. Clear signs of myocardial ischemia indicated immediate surgery. Coronary artery bypass grafting was carried out within a very short time frame and the patient survived. This case demonstrates the value of an expeditious surgical treatment strategy.


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How to Cite

Tendulkar, A., Haque, R., Bernstein, W., Griffith, B., & Bonatti, J. (2010). Dissection of the Left Main Coronary Artery during Percutaneous Intervention: Successful Surgical Management. The Heart Surgery Forum, 13(6), E402-E404. https://doi.org/10.1532/HSF98.20101153