Treatment of a Spontaneous Coronary Artery Dissection Involving the Left Main Coronary Artery Using the Culotte Stent Technique.
- Author:
Joo Ho LEE
1
;
Ja Young JEON
;
Ga Young BAN
;
Eun Jung KANG
;
Jin Sun PARK
;
Dai Yeol JOE
;
Byoung Joo CHOI
Author Information
1. Department of Cardiology, Ajou University School of Medicine, Suwon, Korea. bjchoi@ajou.ac.kr
- Publication Type:Case Report
- Keywords:
Coronary disease;
Dissection;
Stent
- MeSH:
Adult;
Arteries;
Constriction, Pathologic;
Coronary Angiography;
Coronary Disease;
Coronary Vessels;
Female;
Humans;
Muscle Spasticity;
Myocardial Infarction;
Myocardial Ischemia;
Risk Factors;
Smoke;
Smoking;
Stents
- From:Korean Journal of Medicine
2012;83(3):352-356
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
Spontaneous coronary artery dissection (SCAD) is an extremely rare clinical manifestation of ischemic heart disease. A 43-year-old female was admitted to our hospital for non-ST elevation myocardial infarction. She had no cardiac risk factors except smoking. Coronary angiography showed moderate stenosis of the proximal left circumflex artery (LCX) with intraluminal haziness and a spastic appearance from the culprit lesion in the left main coronary artery (LM). Subsequent analysis by intravascular ultrasound (IVUS) revealed a clear dissection flap from the LCX to the LM. Generally, SCAD of the LM or multivessel involvement requires primary surgical management. The present case was treated percutaneously using the culotte stent technique.
