PMC10464903_01
Coronary angiography. (A) Retrograde mid-LAD dissection (black arrow) and propagation to aortic dissection (white arrow) (B) Disappearance of mid-LAD dissection after PCI on LM to proximal LAD. LAD, left anterior descending artery; LM, left main coronary artery; PCI, percutaneous intervention.
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PMC10464903_01_fsurg-10-1236734-g001.jpg
F1
When a mid-LAD dissection and retrograde aortic dissection appeared during PCI (Figure 1A), the PCI was carried out from LM to mid-LAD.
(A) Perioperative transesophageal echocardiography showing the flap of the proximal aortic dissection (white arrow). (B) Postoperative computed tomography showing a small remnant intramural hematoma (two yellow arrows) and the stent in the LAD (blue arrow). LAD, left anterior descending artery.
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F2
Perioperative transesophageal echocardiography showed the flap of the proximal aortic dissection (Figure 2A). Postoperative CT revealed a small remnant intramural hematoma, and the LAD stent was visible (Figure 2B).