Acute myocardial infarction due to spontaneous coronary artery dissection treated with primary coronary angioplasty: a case report.
We report the case of a young woman referred to our hospital for anterior ST-elevation myocardial infarction to be treated with primary coronary angioplasty. Angiography showed total dissection of the left anterior descending coronary artery, which was successfully treated with primary coronary angioplasty and multiple coronary stent implantation. Spontaneous coronary artery dissection is an unusual cause of acute coronary syndrome, which occurs more frequently in women with many pregnancies (our patient had eight sons before hospital admission for acute myocardial infarction). Although technically challenging, primary coronary angioplasty is a good strategy for treating coronary artery dissection.
Guiducci
Vincenzo
V
Division of Interventional Cardiology, S. Maria Nuova Hospital, Viale Risorgimento 80, 42100 Reggio Emilia, Italy. guiducci.vincenzo@asmn.re.it
Pignatelli
Gianluca
G
Giacometti
Paola
P
Fioroni
Stefano
S
Manari
Antonio
A
D000328:Adult; D000784:Aortic Dissection / Q000150:complications*; D015906:Angioplasty, Balloon, Coronary; D003323:Coronary Aneurysm / Q000150:complications*; D005260:Female; D006801:Humans; D009203:Myocardial Infarction / Q000209:etiology / Q000628:therapy*; D015607:Stents