title: Self-expanding stent for spontaneous coronary artery dissection: a rational choice.
abstract: : Spontaneous coronary artery dissection (SCAD) is a rare and poorly understood cause of acute coronary syndrome in relatively young patients. Nowadays, the optimal treatment of SCAD is uncertain. A conservative approach seems to be preferable, but in particular conditions, an invasive strategy is necessary. The poor rate of procedural success, the high risk of procedural complications and the uncertain long and mid-term results make the interventional treatment of SCAD a challenge. We report a case of a young male patient presenting with SCAD successfully treated with a sirolimus-eluting self-expanding coronary stent. To our knowledge, the use of self-expanding coronary stent for SCAD has never been described yet and we discuss about the rationale of a possible larger use in clinical practice.
authors.affiliation: aCoronary Care Unit-Cardiology Unit, Teresa Masselli-Mascia Hospital, San Severo (FG), ASL FG bCardiology Department, Hospital F. Miulli, Acquaviva delle Fonti (BA) cCardiology Department, Casa Sollievo della Sofferenza, San Giovanni Rotondo (FG), Italy.
authors.forename: Marco
authors.initials: M
authors.lastname: Mele
authors.forename: Tommaso
authors.initials: T
authors.lastname: Langialonga
authors.forename: Alessandro
authors.initials: A
authors.lastname: Maggi
authors.forename: Massimo
authors.initials: M
authors.lastname: Villella
authors.forename: Alessandro
authors.initials: A
authors.lastname: Villella
mesh_terms: D002317:Cardiovascular Agents / Q000008:administration & dosage; D017023:Coronary Angiography; D003330:Coronary Vessel Anomalies / Q000150:complications / Q000000981:diagnostic imaging / Q000628:therapy*; D054855:Drug-Eluting Stents; D006801:Humans; D008297:Male; D008875:Middle Aged; D062645:Percutaneous Coronary Intervention / Q000295:instrumentation*; D011474:Prosthesis Design; D000072657:ST Elevation Myocardial Infarction / Q000000981:diagnostic imaging / Q000209:etiology / Q000628:therapy*; D020123:Sirolimus / Q000008:administration & dosage; D041623:Tomography, Optical Coherence; D016896:Treatment Outcome; D014652:Vascular Diseases / Q000150:complications / Q000151:congenital* / Q000000981:diagnostic imaging / Q000628:therapy
chemical_list: D002317:Cardiovascular Agents; D020123:Sirolimus