A Surgical Case of Iatrogenic Debakey Type I Acute Aortic Dissection from the Left Main Trunk

Abstract

The patient is a 76-year-old woman. Coronary angiography showed significant stenosis, and she underwent percutaneous coronary intervention (PCI). After stenting from the left main trunk (LMT) to the left anterior descending branch (LAD), contrast-enhanced CT showed DeBakey type I acute aortic dissection and cardiac tamponade, and she underwent emergency coronary artery bypass surgery with ascending replacement. DeBakey type I acute aortic dissection with LMT as an entry point is rare and is reported here.