Coronary artery dissection after transluminal angioplasty. Possible deleterious effects of treatment with intracoronary streptokinase.
Percutaneous transluminal coronary angioplasty (PTCA) is a nonsurgical alternative in the management of selected patients with coronary artery disease. Intimal dissection is the mechanism by which PTCA dilates coronary obstructions. Acute vessel occlusion is a rare but severe complication. Vessel patency can often be restored by fibrinolytic therapy when occlusion occurs immediately after angioplasty. A case of a patient with coronary dissection after PTCA and delayed obstruction, possibly aggravated by streptokinase is presented.
D000328:Adult; D000787:Angina Pectoris / Q000209:etiology; D000800:Angioplasty, Balloon / Q000009:adverse effects*; D003251:Constriction, Pathologic / Q000000981:diagnostic imaging / Q000628:therapy; D003327:Coronary Disease / Q000000981:diagnostic imaging / Q000628:therapy*; D006801:Humans; D008297:Male; D011859:Radiography; D013300:Streptokinase / Q000009:adverse effects*
D013300:Streptokinase