From bad to worse: a case report of bilateral iatrogenic coronary dissection complicated with cardiac arrest

Clicks: 2
ID: 313951
2026
Free PDF
Article Quality & Performance Metrics
Overall Quality
Not rated
Combines reader engagement with the AI quality analysis. This article has not been analysed, so there is no overall score — reader engagement is measured and shown alongside.
AI Quality Assessment
Not analyzed
Readership in this journal
Emerging

Ranked #132 of 251 articles by views in European Heart Journal - Case Reports

Most read Least read

Bar heights use a square-root scale. Only the 120 most-read articles are drawn; the journal has 251 in total.

Mint this article as an NFT
Not yet minted

Create a permanent, verifiable on-chain record of this article on the Scimatic Network. The NFT is held in your Journament account, and you can withdraw it to your own wallet at any time.

5 SUSD one-off · no wallet required
Sign in to mint
Abstract
Abstract Background Iatrogenic coronary artery dissection is a rare but life-threatening complication, occurring in fewer than 0.1% of coronary procedures. It is typically precipitated by aggressive or deep intubation with large catheters. While most dissections are unilateral, bilateral occurrences are exceptionally rare and often suggest underlying “vulnerable” vessel conditions, such as fibromuscular dysplasia. Case Summary A 40-year-old woman with no medical history presented with non-ST-elevation acute coronary syndrome. Initial angiography of the right coronary artery (RCA) and left main coronary artery (LMCA) showed no obstructive lesions. Post-procedure, the patient developed recurrent chest pain and circumferential ST-segment elevation, followed by ventricular fibrillation that required electrical cardioversion. A second angiogram revealed simultaneous dissections of both the LMCA and RCA. Emergent stenting was successfully performed to seal the dissection planes in both vessels. An extensive autoimmune and systemic vascular workup was negative. The patient recovered well and was discharged four days later. Discussion LMCA dissections carry a high mortality risk because they jeopardize a vast territory of the myocardium. In this case, the simultaneous involvement of both the RCA and LMCA represents an extreme clinical challenge. Management must be immediate; urgent stenting is the gold standard to prevent total vessel occlusion, myocardial infarction, and irreversible cardiac damage.
Reference Key
openalex_W7160611147 Use this key to autocite in the manuscript while using SciMatic Manuscript Manager or Thesis Manager
Authors Hamza Chraïbi, Said Ouadallah, Sihem Mbarki, Taha Hassani
Journal European Heart Journal - Case Reports
Year 2026
DOI
10.1093/ehjcr/ytag337
URL
https://doi.org/10.1093/ehjcr/ytag337
Keywords Keywords not found

Citations

No citations found. To add a citation, contact the admin at info@scimatic.org

Comments

No comments yet. Be the first to comment on this article.