Spontaneous coronary dissection of the left main stem after intense physical activity--regression under conservative strategy.
Spontaneous coronary dissection usually occurs in middle-aged women, during pregnancy and postpartum. Proposed management strategies are most often based on invasive procedures such as percutaneous transluminal intervention with stenting, or surgical revascularization. We report a case of coronary dissection of the main stem artery occurring after intensive exercise, showing a rapid regression under conservative medical treatment. This case and the review of the literature emphasize that in case of non-occlusive coronary dissection, a conservative approach with a careful follow-up may be a strategy to consider.
Marijon
Eloi
E
Fressonnet
Renaud
R
Haggui
Abdeddayem
A
Mousseaux
Elie
E
Redheuil
Alban
A
D015906:Angioplasty, Balloon, Coronary / Q000009:adverse effects*; D003327:Coronary Disease / Q000628:therapy; D016861:Cyclooxygenase Inhibitors / Q000627:therapeutic use; D054855:Drug-Eluting Stents; D004452:Echocardiography; D004562:Electrocardiography; D006801:Humans; D007052:Ibuprofen / Q000627:therapeutic use; D008297:Male; D008875:Middle Aged; D010493:Pericarditis / Q000188:drug therapy / Q000209:etiology*
D016861:Cyclooxygenase Inhibitors; D007052:Ibuprofen