Aslantaş, YusufBulur, SerkanÇa?lar, Sabri OnurAlbayrak, Enver SinanYalçin, SübhanÖzhan, Hakan2024-09-252024-09-2520131307-671Xhttps://hdl.handle.net/20.500.12491/12966A 74-year-old man was admitted to our hospital with sudden onset severe chest pain. Electrocardiogram showed ischemic ST-segment elevation at anterior leads. The patient was taken to the catheterization laboratory for primary percutaneous coronary intervention. ChoICE® PT (Polymer Tip) floppy guide wire crossed the lesion subintimally. Simultaneously the patient had a new onset chest pain. Coronary angiography was proceeded which revealed a dissection in the proximal LAD until first diagonal branch (D1). On the right caudal projection very long dissections were detected in the proximal to distal parts of circumflex and intermediary arteries without any limitation in the distal coronary flow.eninfo:eu-repo/semantics/closedAccessclopidogrelheparinagedangiocardiographybare metal stentcase reportcoronary artery blood flowcoronary artery bypass graftcoronary artery circumflex branchcoronary artery dissectiondisease severitydrug dose increaseelectrocardiogramfloppy guide wireguide wireguiding catheterheart muscle revascularizationhumanleft anterior descending coronary arterylettermalepercutaneous coronary interventionpercutaneous transluminal angioplastysaphenous vein graftST segment elevationstable angina pectorisstent thrombosisthorax paintransluminal coronary angioplastyMulti vessel coronary artery dissection during primary angioplastyPrimer anjiografi esnasi{dotless}nda çok damar koroner arter diseksiyonu]Letter15173742-s2.0-84888094703Q4