case_images: PMC10464903_01
case_images: 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.
case_images: fsurg-10-1236734-g001.jpg
case_images: PMC10464903_01_fsurg-10-1236734-g001.jpg
case_images: F1
case_images: When a mid-LAD dissection and retrograde aortic dissection appeared during PCI (Figure 1A), the PCI was carried out from LM to mid-LAD.
case_images: (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.
case_images: fsurg-10-1236734-g002.jpg
case_images: PMC10464903_01_fsurg-10-1236734-g002.jpg
case_images: F2
case_images: 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).