title: Percutaneous treatment of spontaneous left main coronary artery dissection using drug-eluting stent.
abstract: BACKGROUND
  Spontaneous coronary artery dissection is a rare cause of ischemic heart disease and sudden death. Prompt diagnosis is of paramount importance, especially in cases when it manifests with ST elevation myocardial infarction (STEMI).
  
  
  METHODS
  We report a case of a 42 year-old woman, who presented with an anterior STEMI in a hospital without on-site percutaneous coronary intervention (PCI) facilities. She was transferred to our hospital and coronary angiography revealed a spontaneous dissection of the left main stem coronary artery (LM). The dissection was successfully managed with PCI.
  
  
  CONCLUSIONS
  PCI appears to be a potential option, for the treatment of selected cases with spontaneous LM dissection, presenting with an acute coronary syndrome.
authors.affiliation: Department of Interventional Cardiology, Kyanous Stavros Hospital, Vizyis-Vyzantos 1 Street, Thessaloniki 54636, Greece. dimitriadis1980@gmail.com.
authors.forename: Christos
authors.initials: C
authors.lastname: Graidis
authors.forename: Dimokritos
authors.initials: D
authors.lastname: Dimitriadis
authors.forename: Vasileios
authors.initials: V
authors.lastname: Karasavvidis
authors.forename: Georgios
authors.initials: G
authors.lastname: Dimitriadis
authors.forename: Efstathia
authors.initials: E
authors.lastname: Argyropoulou
authors.forename: Fotios
authors.initials: F
authors.lastname: Economou
authors.forename: George
authors.initials: G
authors.lastname: Spiromitros
authors.forename: Antonios
authors.initials: A
authors.lastname: Antoniou
authors.forename: Georgios
authors.initials: G
authors.lastname: Karakostas
mesh_terms: D000328:Adult; D017023:Coronary Angiography; D003330:Coronary Vessel Anomalies / Q000150:complications / Q000000981:diagnostic imaging / Q000601:surgery*; D054855:Drug-Eluting Stents; D004562:Electrocardiography; D005260:Female; D006801:Humans; D009203:Myocardial Infarction / Q000175:diagnosis / Q000209:etiology; D062645:Percutaneous Coronary Intervention / Q000295:instrumentation / Q000379:methods*; D014652:Vascular Diseases / Q000150:complications / Q000151:congenital* / Q000000981:diagnostic imaging / Q000601:surgery