Document Detail

A rare case of aortocoronary dissection following percutaneous transluminal coronary angioplasty: successful treatment using off-pump coronary artery bypass grafting.
MedLine Citation:
PMID:  12895633     Owner:  NLM     Status:  MEDLINE    
Retrograde dissection of the aorta is a rare but potentially life threatening complication of percutaneous coronary intervention. We describe a case of retrograde aortic dissection, which occurred during attempted percutaneous transluminal coroanary angioplasty (PTCA) of chronically occluded left anterior descending artery (LAD). Emergency coronary artery bypass grafting (CABG) was performed to revascularise LAD distal to the site of entry tear with pedicled left internal mammary artery (LIMA). This was achieved off-pump. Ascending aorta was not replaced as the dissection was localised.
Vinayak N Bapat; Graham E Venn
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Publication Detail:
Type:  Case Reports; Journal Article; Review    
Journal Detail:
Title:  European journal of cardio-thoracic surgery : official journal of the European Association for Cardio-thoracic Surgery     Volume:  24     ISSN:  1010-7940     ISO Abbreviation:  Eur J Cardiothorac Surg     Publication Date:  2003 Aug 
Date Detail:
Created Date:  2003-08-04     Completed Date:  2003-11-20     Revised Date:  2005-11-16    
Medline Journal Info:
Nlm Unique ID:  8804069     Medline TA:  Eur J Cardiothorac Surg     Country:  England    
Other Details:
Languages:  eng     Pagination:  312-4     Citation Subset:  IM    
Department of Cardiothoracic Surgery, St. Thomas' Hospital, London, UK.
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MeSH Terms
Angioplasty, Transluminal, Percutaneous Coronary / adverse effects*
Aorta / injuries*,  surgery
Coronary Angiography
Coronary Artery Bypass*
Coronary Disease / radiography,  surgery,  therapy*
Coronary Vessels / injuries*,  surgery
Diabetes Complications
Diabetes Mellitus / radiography,  surgery
Myocardial Revascularization

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine

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