Succesful treatment of spontaneous dissection of the coronary artery by primary percutaneous coronary intervention
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Hüseyin Uğur Yazıcı 1 * , Muharrem Nasifov, Kadir Uğur Mert, Ömer Göktekin, Yüksel Çavuşoğlu
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1 Eskişehir Osmangazi Üniversitesi Tıp Fakültesi Kardiyoloji Anabilim Dalı, Eskişehir, Turkey* Corresponding Author

Abstract

Spontaneous coronary artery dissection (SCAD) is a rare cause of acute myocardial infarction. The disease is usually seen in young-middle aged women and leads to sudden death in the majority of cases. In survived patients, diagnosis of SCAD has been made with coronary anjiography. Involvement of left main coronary artery (LMCA) is very unusual. We describe on a case of SCAD involving the LMCA in a young woman presenting with an acute myocardial infarction and cardiogenic shock status. There were no risk factors for coronary artery disease and no evidence of atherosclerosis on angiography. Coronary angiography revealed dissection of the LMCA that extended into the anterior descending and circumflex coronary arteries. The dissection was successfully treated with primary coronary artery stenting. The patient was discharged without complication. There was no problem in the first evaluation at the end of the first of the month.

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This is an open access article distributed under the Creative Commons Attribution License which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

Article Type: Case Report

J Clin Exp Invest, 2011, Volume 2, Issue 3, 299-303

https://doi.org/10.5799/ahinjs.01.2011.03.0059

Publication date: 13 Sep 2011

Article Views: 2284

Article Downloads: 1167

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