Spontaneous coronary artery dissection involving the left main stem: assessment by intravascular ultrasound.
This case report describes the devastating consequences of spontaneous coronary dissection in a 36 year old female patient who otherwise had a normal coronary arteriogram. Intravascular ultrasound showed coronary artery dissection and intramural haematoma at the left main stem coronary artery. Acute coronary syndrome developed and subsequently surgical revascularisation was performed successfully.
Auer
J
J
Department of Cardiology, General Hospital Wels, A-4600 Wels, Austria. johann.auer@khwels.at
Punzengruber
C
C
Berent
R
R
Weber
T
T
Lamm
G
G
Hartl
P
P
Eber
B
B
D000328:Adult; D000784:Aortic Dissection / Q000000981:diagnostic imaging*; D000787:Angina Pectoris / Q000209:etiology; D001026:Coronary Artery Bypass / Q000379:methods; D003331:Coronary Vessels; D005260:Female; D006801:Humans; D009203:Myocardial Infarction / Q000188:drug therapy / Q000209:etiology* / Q000601:surgery; D009204:Myocardial Revascularization / Q000379:methods; D012008:Recurrence; D014463:Ultrasonography