Case 10- 51 y.o. female, unstable angina pectoris, Left Main Dissection.

Four months ago the patient underwent an attempt to open a chronically occluded LAD which was unsuccessful. Because the angina has been progressive, she had a repeat angiography which revealed severe stenosis of the proximal LCX and a chronically occluded mid LAD with excellent collateral filling via the RCA.

Procedure Conclusions:
Ballon angioplasty and endoluminal stenting (NIR) of the mid LCX was successful. The balloon angioplasty of the mid LAD was complicated by severe dissection of the left main coronary artery. As a result, she underwent emergent bypass surgery.

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