Published in:
Open Access
01-12-2014 | Case report
Percutaneous treatment of spontaneous left main coronary artery dissection using drug-eluting stent
Authors:
Christos Graidis, Dimokritos Dimitriadis, Vasileios Karasavvidis, Georgios Dimitriadis, Efstathia Argyropoulou, Fotios Economou, George Spiromitros, Antonios Antoniou, Georgios Karakostas
Published in:
BMC Cardiovascular Disorders
|
Issue 1/2014
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Abstract
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.