Emergency coronary artery bypass graft surgery for iatrogenic left main coronary artery dissection

Iatrogenic coronary artery dissection during coronary angiography with or without rupture is a rare but feared complication. we herein report a case of iatrogenic left main coronary artery dissection in a 49-year-old female. admitted to our hospital with a recent history of severe hypotension,she develpled apnea during angiography. she was intubated and resuscitated with an epinephrine infusion in the cath-lab. the diagnosis was iatrogenic left main coronary artery dissection based on angiography. immediately,the patient was transferred to the operating room in a lethargic state with an epinephrine infusion and prepared for emergency coronary artery bypass graft surgery. in the icu,she was completely alert with no hemodynamic complications and finally was discharged in a good overall condition. at 18 months’ follow-up,the patient was in a stable situation with good daily function. © 2015,tehran heart center. all right recived.