title: How should I treat a left main spontaneous dissection involving left anterior descending artery, intermediate branch artery and left circumflex artery?
abstract: BACKGROUND
  A 45-year-old woman presented to the emergency department with ST-segment elevation myocardial infarction (STEMI).
  
  
  METHODS
  Physical examination, electrocardiography, coronary angiography, echocardiography, cardiac computed tomography.
  
  
  METHODS
  STEMI due to spontaneous left main coronary artery dissection involving left anterior descending, intermediate and left circumflex arteries.
  
  
  METHODS
  Percutaneous coronary intervention (PCI).
authors.affiliation: Department of Interventional Cardiology and Cardiology, San Raffaele Scientific Institute, Milan, Italy.
authors.forename: Chiara
authors.initials: C
authors.lastname: Bernelli
authors.forename: Silvia
authors.initials: S
authors.lastname: Ajello
authors.forename: Daniela
authors.initials: D
authors.lastname: Piraino
authors.forename: Alaide
authors.initials: A
authors.lastname: Chieffo
authors.forename: Matteo
authors.initials: M
authors.lastname: Montorfano
authors.forename: Davide
authors.initials: D
authors.lastname: Maccagni
authors.forename: Alessandro
authors.initials: A
authors.lastname: Durante
authors.forename: Francesco Maria
authors.initials: FM
authors.lastname: Sacco
authors.forename: Alberto
authors.initials: A
authors.lastname: Margonato
authors.forename: Antonio
authors.initials: A
authors.lastname: Colombo
authors.forename: Stéphane
authors.initials: S
authors.lastname: Cook
authors.forename: Mario
authors.initials: M
authors.lastname: Togni
authors.forename: Michiel
authors.initials: M
authors.lastname: Voskuil
authors.forename: Pieter
authors.initials: P
authors.lastname: Stella
mesh_terms: D000784:Aortic Dissection / Q000150:complications / Q000175:diagnosis / Q000628:therapy*; D003323:Coronary Aneurysm / Q000150:complications / Q000175:diagnosis / Q000628:therapy*; D017023:Coronary Angiography; D004452:Echocardiography; D004562:Electrocardiography; D005260:Female; D006801:Humans; D008875:Middle Aged; D009203:Myocardial Infarction / Q000175:diagnosis / Q000209:etiology / Q000628:therapy*; D062645:Percutaneous Coronary Intervention; D011237:Predictive Value of Tests; D041623:Tomography, Optical Coherence; D014057:Tomography, X-Ray Computed; D016896:Treatment Outcome