Acute myocardial infarction due to left main compression aortic dissection treated by direct stenting.
We describe a case of acute myocardial infarction (AMI) due to compression of the left main coronary artery (LMCA) by a false channel created by an acute aortic dissection (AAD). The dynamic pattern of artery obstruction is detailed as a key element to the diagnosis of extrinsic coronary compression throughout the angiography. Treatment by direct stenting restored complete anterograde coronary flow and improved myocardial perfusion.
Cardozo
Carlos
C
Service de Cardiologie, Centre Hospitalier Saint Philibert, 115, rue du grand But, B.P. 249, 59462, Lomme, Cedex, France. carlos_cardozo@yahoo.com
Riadh
Rihani
R
Mazen
Moukahal
M
D000368:Aged; D000784:Aortic Dissection / Q000150:complications* / Q000175:diagnosis / Q000601:surgery*; D001014:Aortic Aneurysm / Q000150:complications* / Q000175:diagnosis / Q000601:surgery*; D019917:Blood Vessel Prosthesis Implantation; D017023:Coronary Angiography; D023921:Coronary Stenosis / Q000150:complications* / Q000175:diagnosis / Q000601:surgery*; D004452:Echocardiography; D017548:Echocardiography, Transesophageal; D004562:Electrocardiography; D006801:Humans; D008297:Male; D009203:Myocardial Infarction / Q000175:diagnosis / Q000209:etiology* / Q000601:surgery*; D015607:Stents; D018487:Ventricular Dysfunction, Left / Q000175:diagnosis / Q000601:surgery