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

BMC Cardiovascular Disorders

Case Report

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

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

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

DOI  :  10.1186/1471-2261-14-191

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

来源: Springer

【 摘 要 】

BackgroundSpontaneous 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 presentationWe 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.ConclusionPCI 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】

CC BY   
© Graidis et al.; licensee BioMed Central. 2014