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

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). We report a case of a 42 year-old woman, who presented with an anteri...

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Veröffentlicht in:BMC cardiovascular disorders 2014-12, Vol.14 (1), p.191-191, Article 191
Hauptverfasser: Graidis, Christos, Dimitriadis, Dimokritos, Karasavvidis, Vasileios, Dimitriadis, Georgios, Argyropoulou, Efstathia, Economou, Fotios, Spiromitros, George, Antoniou, Antonios, Karakostas, Georgios
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container_end_page 191
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container_title BMC cardiovascular disorders
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creator Graidis, Christos
Dimitriadis, Dimokritos
Karasavvidis, Vasileios
Dimitriadis, Georgios
Argyropoulou, Efstathia
Economou, Fotios
Spiromitros, George
Antoniou, Antonios
Karakostas, Georgios
description 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). 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. 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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subjects Adult
Cardiology
Case Report
Coronary Angiography
Coronary Vessel Anomalies - complications
Coronary Vessel Anomalies - diagnostic imaging
Coronary Vessel Anomalies - surgery
Coronary vessels
Drug-Eluting Stents
Electrocardiography
Female
Heart attacks
Humans
Myocardial Infarction - diagnosis
Myocardial Infarction - etiology
Percutaneous Coronary Intervention - instrumentation
Percutaneous Coronary Intervention - methods
Stents
Vascular Diseases - complications
Vascular Diseases - congenital
Vascular Diseases - diagnostic imaging
Vascular Diseases - surgery
title Percutaneous treatment of spontaneous left main coronary artery dissection using drug-eluting stent
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