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Cardiovascular Intervention and Therapeutics
Published in: Cardiovascular Intervention and Therapeutics 3/2017

01-07-2017 | Case Report

Non-atherosclerotic spontaneous coronary artery dissection revascularized by intravascular ultrasonography-guided fenestration with cutting balloon angioplasty

Authors: Tsuyoshi Ito, Yasuhiro Shintani, Taku Ichihashi, Hiroshi Fujita, Nobuyuki Ohte

Published in: Cardiovascular Intervention and Therapeutics | Issue 3/2017

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Abstract

A 46-year-old woman was referred to our hospital due to chest pain. Twelve-lead electrocardiogram revealed ST-segment elevation suggesting acute myocardial infarction. Emergent coronary angiography showed diffuse narrowing and occlusion in the middle to distal left anterior descending artery (LAD). To investigate the cause of occlusion, an intravascular ultrasound (IVUS) examination was performed and we diagnosed spontaneous coronary artery dissection (SCAD) as the cause of occlusion. After a cutting balloon was dilated at the distal LAD, coronary flow recovered. IVUS-guided angioplasty with cutting balloon could be a choice of treatment in SCAD patients who need revascularization.
Literature
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Tweet MS, Hayes SN, Pitta SR, Simari RD, Lerman A, Lennon RJ, et al. Clinical features, management, and prognosis of spontaneous coronary artery dissection. Circulation. 2012;126:579–88.CrossRefPubMed
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Alfonso F, Paulo M, Lennie V, Dutary J, Bernardo E, Jiménez-Quevedo P, et al. Spontaneous coronary artery dissection: long-term follow-up of a large series of patients prospectively managed with a “conservative” therapeutic strategy. JACC Cardiovasc Interv. 2012;5:1062–70.CrossRefPubMed
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Tweet MS, Eleid MF, Best PJ, Lennon RJ, Lerman A, Rihal CS, et al. Spontaneous coronary artery dissection: revascularization versus conservative therapy. Circ Cardiovasc Interv. 2014;7:777–86.CrossRefPubMed
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Metadata
Title
Non-atherosclerotic spontaneous coronary artery dissection revascularized by intravascular ultrasonography-guided fenestration with cutting balloon angioplasty
Authors
Tsuyoshi Ito
Yasuhiro Shintani
Taku Ichihashi
Hiroshi Fujita
Nobuyuki Ohte
Publication date
01-07-2017
Publisher
Springer Japan
Published in
Cardiovascular Intervention and Therapeutics / Issue 3/2017
Print ISSN: 1868-4300
Electronic ISSN: 1868-4297
DOI
https://doi.org/10.1007/s12928-016-0397-x

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