title: [Spontaneous dissection of the left main coronary artery treated by multiple stent implantation].
abstract: We report a case of spontaneous dissection of the left main coronary artery in a 32-year-old healthy woman that was unrelated with childbirth or other known risk factors. The clinical presentation was an extensive acute anterior myocardial infarction. She was treated by thrombolysis, but did not meet reperfusion criteria. Coronary angiography revealed dissection of the left main coronary artery that extended into the anterior descending and circumflex coronary arteries. Rescue angioplasty with stenting was performed. The clinical, diagnostic, and therapeutic features of this rare entity are discussed.
authors.affiliation: Servicio de Cardiología.Complejo Hospitalario Ciudad de Jaén. Jaén. Spain. anramo1@supercable.es
authors.forename: Antonio
authors.initials: A
authors.lastname: Ramírez Moreno
authors.forename: Rosa
authors.initials: R
authors.lastname: Cardenal Piris
authors.forename: Manuel
authors.initials: M
authors.lastname: Guzmán Herrera
authors.forename: Cristóbal
authors.initials: C
authors.lastname: Lozano Cabezas
authors.forename: Dolores
authors.initials: D
authors.lastname: Pola
authors.forename: Carlos
authors.initials: C
authors.lastname: Pagola Vilardebó
mesh_terms: D000328:Adult; D000784:Aortic Dissection / Q000150:complications* / Q000000981:diagnostic imaging / Q000601:surgery; D015906:Angioplasty, Balloon, Coronary; D003323:Coronary Aneurysm / Q000150:complications* / Q000000981:diagnostic imaging / Q000628:therapy; D017023:Coronary Angiography; D003331:Coronary Vessels / Q000473:pathology / Q000601:surgery; D004562:Electrocardiography; D005260:Female; D006801:Humans; D009203:Myocardial Infarction / Q000000981:diagnostic imaging / Q000209:etiology* / Q000628:therapy*; D015607:Stents; D015912:Thrombolytic Therapy; D016896:Treatment Outcome
vernacular_title: Disección espontánea del tronco coronario izquierdo tratada mediante implantación de multiples stents.