Rare Occurrence of Simultaneous Dissection, Perforation & Thrombosis of External Iliac Artery following Diagnostic Coronary Angiography: Case Report

Lower extremity complications are the most common problems encountered during trans femoral diagnostic coronary artery angiography. Dissection, thrombosis and perforation of lower extremities arteries although not uncommon in it’s own, very rarely occurs simultaneously, and we did not find any report in the literature. In this report we describe a case of simultaneous occurrence of all these three complications during coronary angiography in one patient. It also represents some of our uncertainties regarding the best management of the patient. In this patient arterial perforation and dissection was managed conservatively, but we applied an invasive treatment (surgical thrombectomy) for arterial thrombosis with excellent short and long term result.