title: Percutaneous treatment of spontaneous left main coronary artery dissection extending to the left anterior descending and circumflex arteries possibly triggered by thrombolytic therapy.
abstract: Spontaneous coronary artery dissection is a rare cause of myocardial infarction and the role of thrombolytic therapy in this setting is not known. A case of acute ST elevation myocardial infarction is presented, with initial positive response to thrombolytic therapy and subsequent marked worsening of ST elevation due to extensive dissection, possibly triggered by thrombolytic therapy, which was successfully treated with percutaneous coronary intervention.
authors.affiliation: Cardiovascular Department of Modaress Hospital, Shahid Beheshti University;
authors.forename: Habib
authors.initials: H
authors.lastname: Saadat
authors.forename: Maryam
authors.initials: M
authors.lastname: Taherkhani
authors.forename: Morteza
authors.initials: M
authors.lastname: Safi
authors.forename: Hosein
authors.initials: H
authors.lastname: Vakili
authors.forename: Mohammad Hassan
authors.initials: MH
authors.lastname: Namazi
authors.forename: Hamid Reza
authors.initials: HR
authors.lastname: Poorhoseini
authors.forename: Mohammad Reza
authors.initials: MR
authors.lastname: Movahed