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Coronary stenting after failure of conservative treatment for spontaneous coronary dissection: Usefulness of the intravascular ultrasound

✍ Scribed by Vicens Marti; Joan Garcia-Picart; Jordi Balcells

Publisher
John Wiley and Sons
Year
2011
Tongue
English
Weight
204 KB
Volume
39
Category
Article
ISSN
0091-2751

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✦ Synopsis

Abstract

Spontaneous coronary dissection of a coronary artery is a rare cause of acute coronary syndrome. Optimal treatment has not yet been established. We describe a woman with spontaneous dissection of the left anterior descending artery who presented transitory angina and electrocardiographic ST segment elevation in precordial leads. Conservative treatment was carried out. The angina and electrocardiographic changes recurred 3 days later. An intravascular vascular ultrasound was performed and the patient was stabilized following stenting. Stress testing was negative at 6‐month follow‐up and she remained asymptomatic at 18 months. We discuss the usefulness of an intravascular ultrasound study to establish the therapeutic strategy. Β© 2011 Wiley Periodicals, Inc. J Clin Ultrasound, 2011

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