title: Intravascular ultrasound imaging in the diagnosis and treatment of spontaneous coronary dissection with drug-eluting stents.
abstract: Spontaneous coronary artery dissection is a rare cause of coronary ischemia. Its prognosis is uncertain and the optimal treatment is not fully defined. We report a case of spontaneous dissection of the left anterior descending artery in a healthy post-menopausal woman, in whom the initial strategy of medical therapy was unsuccessful. After repeated angiography, we implanted 2 drug-eluting stents using intravascular ultrasound guidance with excellent immediate result and long-term symptomatic relief. This is the first report of implantation of drug-eluting stents in spontaneous coronary dissection.
authors.affiliation: Universita' Cattolica del Sacro Cuore, Rome, Italy.
authors.forename: Italo
authors.initials: I
authors.lastname: Porto
authors.forename: Adrian P
authors.initials: AP
authors.lastname: Banning
mesh_terms: D000784:Aortic Dissection / Q000175:diagnosis* / Q000628:therapy*; D019917:Blood Vessel Prosthesis Implantation; D020099:Coated Materials, Biocompatible / Q000627:therapeutic use*; D003323:Coronary Aneurysm / Q000175:diagnosis* / Q000628:therapy*; D017023:Coronary Angiography; D005260:Female; D006801:Humans; D008875:Middle Aged; D012422:Rupture, Spontaneous / Q000175:diagnosis / Q000628:therapy; D015607:Stents; D018084:Ultrasonography, Interventional
chemical_list: D020099:Coated Materials, Biocompatible