Agha Fahad Jan, Sultana Habib, Tahir Saghir, Khalid Naseeb.
Guider induced coronary dissection with retrograde extension to aorta.
Pak Heart J Jan ;43(2):60-3.

43 years old male, current smoker, with a history of dyslipedemia was admitted with unstable angina. His physical examination was unremarkable. Electrocardiography demonstrated minor ST-T changes with Q waves in inferior leads. Medically refractory angina developed after hospital admission and he underwent cardiac catheterization three days later. Cardiac catheterization revealed dominant RCA with critical tubular lesion in mid RCA. (Fig 1) There were minor luminal irregularities in proximal LCX and proximal RCA.Left ventricular function was normal. PCI was the preferred treatment strategy.

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