Percutaneous treatment of spontaneous left main coronary artery dissection using drug-eluting stent

BACKGROUND: Spontaneous coronary artery dissection is a rare cause of ischemic heart disease and sudden death. Prompt diagnosis is of paramount importance, especially in cases when it manifests with ST elevation myocardial infarction (STEMI). CASE PRESENTATION: We report a case of a 42 year-old woma...

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Detalles Bibliográficos
Autores principales: Graidis, Christos, Dimitriadis, Dimokritos, Karasavvidis, Vasileios, Dimitriadis, Georgios, Argyropoulou, Efstathia, Economou, Fotios, Spiromitros, George, Antoniou, Antonios, Karakostas, Georgios
Formato: Online Artículo Texto
Lenguaje:English
Publicado: BioMed Central 2014
Materias:
Case Report
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4279601/
https://www.ncbi.nlm.nih.gov/pubmed/25519008
http://dx.doi.org/10.1186/1471-2261-14-191
Descripción
Sumario:BACKGROUND: Spontaneous coronary artery dissection is a rare cause of ischemic heart disease and sudden death. Prompt diagnosis is of paramount importance, especially in cases when it manifests with ST elevation myocardial infarction (STEMI). CASE PRESENTATION: We report a case of a 42 year-old woman, who presented with an anterior STEMI in a hospital without on-site percutaneous coronary intervention (PCI) facilities. She was transferred to our hospital and coronary angiography revealed a spontaneous dissection of the left main stem coronary artery (LM). The dissection was successfully managed with PCI. CONCLUSION: PCI appears to be a potential option, for the treatment of selected cases with spontaneous LM dissection, presenting with an acute coronary syndrome.

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