Intravascular ultrasound-guided coronary artery stenting for spontaneous coronary artery dissection in a case of acute myocardial infarction associated with vasospasm in a non-culprit coronary artery during the hospitalization.
We report a case of spontaneous coronary artery dissection (SCAD) causing acute myocardial infarction, which was complicated by vasospastic angina (VA). The patient received intravenous administration of t-PA. Emergency coronary angiography demonstrated narrowing of the left anterior descending artery (LAD) due to SCAD. During hospitalization, the patient suffered chest pain, and ECG showed ST elevation in the inferior leads. Sublingual administration of nitroglycerin provided temporary remission. Coronary stent implantation was performed electively using intravascular ultrasound imaging. This is the first reported case of SCAD associated with vasospasm in a non-culprit coronary artery during the hospitalization.
Ueda
Yuko
Y
Department of Internal Medicine, Kure Kyosai Hospital, Kure, Hiroshima.
Hinoi
Toshihide
T
Matsuo
Shusuke
S
Tadehara
Futoshi
F
Tsujiyama
Shuji
S
Ono
Tetsuya
T
Yamakido
Michio
M
D000328:Adult; D000784:Aortic Dissection / Q000150:complications* / Q000175:diagnosis / Q000601:surgery; D000787:Angina Pectoris / Q000209:etiology; D003323:Coronary Aneurysm / Q000150:complications* / Q000175:diagnosis / Q000601:surgery; D017023:Coronary Angiography; D003329:Coronary Vasospasm / Q000150:complications*; D019160:Endosonography; D005260:Female; D006801:Humans; D009203:Myocardial Infarction / Q000188:drug therapy / Q000209:etiology*; D015607:Stents; D010959:Tissue Plasminogen Activator / Q000494:pharmacology; D018084:Ultrasonography, Interventional
D010959:Tissue Plasminogen Activator