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

BMC Cardiovascular Disorders

Georgios Karakostas¹  Antonios Antoniou¹  George Spiromitros¹  Fotios Economou¹  Efstathia Argyropoulou¹  Georgios Dimitriadis¹  Vasileios Karasavvidis¹  Dimokritos Dimitriadis¹  Christos Graidis¹ 

[1] Department of Interventional Cardiology, Kyanous Stavros Hospital, Vizyis-Vyzantos 1 Street, Thessaloniki 54636, Greece

关键词: Percutaneous coronary intervention;    Left main;    Spontaneous coronary artery dissection;   

Others  :  1088401
DOI  :  10.1186/1471-2261-14-191

 received in 2014-08-15, accepted in 2014-12-10,  发布年份 2014

【 摘 要 】

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.

【 授权许可】

   
2014 Graidis et al.; licensee BioMed Central.

【 图 表 】

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【 参考文献 】

• [1]Pretty HC: Dissecting aneurysm of coronary artery in a woman aged 42: rupture. BMJ 1931, 1:667.
• [2]Kamineni R, Sadhu A, Alpert JS: Spontaneous coronary artery dissection: report of two cases and a 50-year review of the literature. Cardiol Rev 2002, 10:279-284.
• [3]Vrints CJM: Acute coronary syndromes: spontaneous coronary artery dissection. Heart 2010, 96(10):801-808.
• [4]Shamloo BK, Chintala RS, Nasur A, Ghazvini M, Shariat P, Diggs JA, Singh SN: Spontaneous coronary artery dissection, aggressive vs. conservative therapy. J Invasive Cardiol 2010, 22(5):222-228.
• [5]Vanzetto G, Berger-Coza E, Barone-Rochettea G, Chavanonb O, Bouvaista H, Hacinib R, Blinb D, Machecourta J: Prevalence, therapeutic management and medium-term prognosis of spontaneous coronary artery dissection: results from a database of 11,605 patients. Eur J Cardiothorac Surg 2009, 35(2):250-254.
• [6]Thompson EA, Ferraris S, Gress T, Ferraris V: Gender differences and predictors of mortality in spontaneous coronary artery dissection: a review of reported cases. J Invasive Cardiol 2005, 17:59-61.
• [7]Marijon E, Fressonnet R, Haggui A, Mousseaux E, Redheuil A: Spontaneous coronary dissection of the left main stem after intense physical activity-regression under conservative strategy. Int J Cardiol 2008, 128:e16-e18.
• [8]Cheung S, Mithani V, Watson RM: Healing of spontaneous coronary dissection in the context of glycoprotein IIB/IIIA inhibitor therapy: a case report. Catheter Cardiovasc Interv 2000, 51:95-100.
• [9]Zupan I, Noc M, Trinkaus D, Popovic M: Double vessel extension of spontaneous left main coronary dissection in young women treated with thrombolytics. Catheter Cardiovasc Interv 2001, 52:226-230.
• [10]Leclercq F, Messner-Pellenc P, Carabasse D, Lucke N, Rivvaland FR, Grolleau R: Successful thrombolysis treatment of a spontaneous left main coronary artery dissection without subsequent surgery. Eur Heart J 1996, 17:320-32123.
• [11]Naganuma T, Chieffo A, Meliga E, Capodanno D, Park SJ, Onuma Y, Valgimigli M, Jegere S, Makkar RR, Palacios IF, Costopoulos C, Kim YH, Buszman PP, Chakravarty T, Sheiban I, Mehran R, Naber C, Margey R, Agnihotri A, Marra S, Capranzano P, Leon MB, Moses JW, Fajadet J, Lefevre T, Morice MC, Erglis A, Tamburino C, Alfieri O, Serruys PW, et al.: Long-term clinical outcomes after percutaneous coronary intervention versus coronary artery bypass grafting for ostial/midshaft lesions in unprotected left main coronary artery from the DELTA registry: a multicenter registry evaluating percutaneous coronary intervention versus coronary artery bypass grafting for left main treatment. JACC Cardiovasc Interv 2014, 7(4):354-361.
• [12]Hong MK, Satler LF, Mintz GS, Wong SC, Kent KM, Pichard AD, Popma JJ, Leon MB: Treatment of spontaneous coronary artery dissection with intracoronary stenting. Am Heart J 1996, 132:200-202.
• [13]Moukarbel GV, Alam SE: Spontaneous coronary artery dissection: management options in the stent era. J Invasive Cardiol 2004, 16:333-335.
• [14]Thayer JO, Healy RW, Maggs PR: Spontaneous coronary dissection. Ann Thorac Surg 1987, 44:97-102.
• [15]Carmi D, Touati G, Barry M, Dadez E: Spontaneous coronary artery dissection: value of beating heart myocardial revascularisation. Interact CardioVasc Thorac Surg 2003, 2:694-696.
• [16]Adlam D, Cuculi F, Lim C, Banning A: Management of spontaneous coronary artery dissection in the primary percutaneous coronary intervention era. J Invasive Cardiol 2010, 22:549-553.
• [17]Le MQ, D M, Ling FS: Spontaneous dissection of the left main coronary artery treated with percutaneous coronary stenting. J Invasive Cardiol 2007, 19(8):59-61.
• [18]Jurado-Román A, Andreu J, Tejada JG, Velázquez M, Albarrán A, Hernández F, Unzué L, Tascón J: A complicated spontaneous left main coronary artery dissection.is the initial conservative management safe in asymptomatic patients? Cardiovasc Revasc Med 2012, 13(6):362-364.
• [19]Lelasi A, Silvestro A, Personeni D, Saino A, Angeletti C, Costalunga A, Tespili M: Outcomes following primary percutaneous coronary intervention for unprotected left main-related ST-segment elevation myocardial infarction. J Cardiovasc MedEpub 2014 May 30