Spontaneous coronary artery dissection during a dobutamine stress echocardiography.
We report a case of a spontaneous dissection of the right coronary artery during a dobutamine stress echocardiography (DSE) study in a middle-aged male. Our patient experienced a severe retrosternal pain of abrupt onset during the DSE study, whereas EKG was evident of significant ST segment elevation in II, III, avF, and V5-V6 leads, followed by an accelerated idioventricular rhythm. Immediate coronary angiogram revealed a minor dissection of the distal part of the right coronary artery.
Karabinos
Ilias
I
Cardiology Department Echo Laboratory, Euroclinic of Athens, Athens, Greece. iliaskk@in.gr
Papadopoulos
Anastasios
A
Koulouris
Spyridon
S
Kranidis
Athanasios
A
Korovesis
Socrates
S
Katritsis
Demosthenes
D
D000784:Aortic Dissection / Q000209:etiology*; D002316:Cardiotonic Agents / Q000009:adverse effects*; D003323:Coronary Aneurysm / Q000209:etiology*; D004280:Dobutamine / Q000009:adverse effects*; D025401:Echocardiography, Stress / Q000009:adverse effects*; D004562:Electrocardiography; D006801:Humans; D008297:Male; D008875:Middle Aged
D002316:Cardiotonic Agents; D004280:Dobutamine