title: Stent treatment of spontaneous coronary arterial dissection in patients with known coronary arterial disease.
abstract: We describe spontaneous coronary arterial dissection (SCAD) in 2 diabetic women, aged 55 and 61 years, with known coronary arterial disease and prior myocardial infarcts. In each, the SCAD caused a fresh myocardial infarct, and balloon angioplasty with stenting successfully restored the true lumen of the dissected artery. Delineating the respective roles of stenting, open operative repair, and conservative management in patients with SCAD is a work in progress.
authors.affiliation: Hartford Hospital, CT, USA.
authors.forename: Wajeehuddin
authors.initials: W
authors.lastname: Mohamed
authors.forename: Troy
authors.initials: T
authors.lastname: Norred
authors.forename: Bahij N
authors.initials: BN
authors.lastname: Khuri
authors.forename: Suresh
authors.initials: S
authors.lastname: Jain
authors.forename: D Luke
authors.initials: DL
authors.lastname: Glancy
mesh_terms: D000784:Aortic Dissection / Q000150:complications / Q000175:diagnosis / Q000601:surgery*; D003323:Coronary Aneurysm / Q000150:complications / Q000175:diagnosis / Q000601:surgery*; D017023:Coronary Angiography; D001026:Coronary Artery Bypass / Q000295:instrumentation*; D003324:Coronary Artery Disease / Q000150:complications / Q000175:diagnosis / Q000601:surgery*; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D008875:Middle Aged; D015607:Stents; D018084:Ultrasonography, Interventional