title: 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.
abstract: 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.
authors.affiliation: Department of Internal Medicine, Kure Kyosai Hospital, Kure, Hiroshima.
authors.forename: Yuko
authors.initials: Y
authors.lastname: Ueda
authors.forename: Toshihide
authors.initials: T
authors.lastname: Hinoi
authors.forename: Shusuke
authors.initials: S
authors.lastname: Matsuo
authors.forename: Futoshi
authors.initials: F
authors.lastname: Tadehara
authors.forename: Shuji
authors.initials: S
authors.lastname: Tsujiyama
authors.forename: Tetsuya
authors.initials: T
authors.lastname: Ono
authors.forename: Michio
authors.initials: M
authors.lastname: Yamakido
mesh_terms: 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
chemical_list: D010959:Tissue Plasminogen Activator